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Aspiration of a Large Mobile Aortic Arch Thrombus With the AngioVac System

Mohammed Qintar, MD, MSc;  Dee Dee Wang, MD;  William W. O’Neill, MD;  Brian O’Neill, MD

Introduction

Video supplement to “Vacuum to the Rescue: Aspiration of a Large Mobile Aortic Arch Thrombus With the AngioVac System Utilizing Transcaval Access” by Qintar et al. (September 2021 Clinical Images).

Multiple case reports have been published on using the AngioVac system for right-sided clots or vegetations and few others report AngioVac in the aorta. Our case is the first to utilize transcaval access for a successful aspiration of the mobile part of a large aortic arch thrombus. This angiographic series demonstrates the diagnosis and treatment of a large thrombus in the aortic arch (with a large mobile segment) in close proximity to the left subclavian artery origin.

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