Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy

Aortic thrombus with multilevel acute ischemia is rare. We report the use of vacuum-assisted thrombectomy of an aortic mural thrombus with superior mesenteric artery involvement causing bilateral lower extremity ischemia and acute mesenteric ischemia, in conjunction with embolectomy and fasciotomy....

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Autores principales: Rolon, Santiago, Wood, Jacob C., Mansukhani, Neel A., Hieb, Robert A., Malinowski, Michael J., Lewis, Brian D., Brown, Kellie R., Rossi, Peter J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263520/
https://www.ncbi.nlm.nih.gov/pubmed/34278077
http://dx.doi.org/10.1016/j.jvscit.2021.05.003
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author Rolon, Santiago
Wood, Jacob C.
Mansukhani, Neel A.
Hieb, Robert A.
Malinowski, Michael J.
Lewis, Brian D.
Brown, Kellie R.
Rossi, Peter J.
author_facet Rolon, Santiago
Wood, Jacob C.
Mansukhani, Neel A.
Hieb, Robert A.
Malinowski, Michael J.
Lewis, Brian D.
Brown, Kellie R.
Rossi, Peter J.
author_sort Rolon, Santiago
collection PubMed
description Aortic thrombus with multilevel acute ischemia is rare. We report the use of vacuum-assisted thrombectomy of an aortic mural thrombus with superior mesenteric artery involvement causing bilateral lower extremity ischemia and acute mesenteric ischemia, in conjunction with embolectomy and fasciotomy. We describe the novel use of the AngioVac device (AngioDynamics, Latham, NY) for reperfusion in the systemic arterial circulation. This case report demonstrates a feasible and less invasive alternative to the management of aortic thrombi with acute ischemia in patients unfit for open aortic thrombectomy of the visceral segment aorta.
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spelling pubmed-82635202021-07-16 Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy Rolon, Santiago Wood, Jacob C. Mansukhani, Neel A. Hieb, Robert A. Malinowski, Michael J. Lewis, Brian D. Brown, Kellie R. Rossi, Peter J. J Vasc Surg Cases Innov Tech Case report Aortic thrombus with multilevel acute ischemia is rare. We report the use of vacuum-assisted thrombectomy of an aortic mural thrombus with superior mesenteric artery involvement causing bilateral lower extremity ischemia and acute mesenteric ischemia, in conjunction with embolectomy and fasciotomy. We describe the novel use of the AngioVac device (AngioDynamics, Latham, NY) for reperfusion in the systemic arterial circulation. This case report demonstrates a feasible and less invasive alternative to the management of aortic thrombi with acute ischemia in patients unfit for open aortic thrombectomy of the visceral segment aorta. Elsevier 2021-05-21 /pmc/articles/PMC8263520/ /pubmed/34278077 http://dx.doi.org/10.1016/j.jvscit.2021.05.003 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Rolon, Santiago
Wood, Jacob C.
Mansukhani, Neel A.
Hieb, Robert A.
Malinowski, Michael J.
Lewis, Brian D.
Brown, Kellie R.
Rossi, Peter J.
Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
title Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
title_full Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
title_fullStr Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
title_full_unstemmed Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
title_short Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
title_sort hybrid repair for acute aortic occlusion using aortobifemoral bypass and angiovac thrombectomy
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263520/
https://www.ncbi.nlm.nih.gov/pubmed/34278077
http://dx.doi.org/10.1016/j.jvscit.2021.05.003
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