Mechanical thrombectomy with the AVP II device

Seven-year-old male with single ventricle in the postoperative of a fenestrated extracardiac Fontan procedure. The echocardiography performed 7 days after the procedure confirmed the presence of a 20 mm pedunculated thrombus attached to the wall of the inferior vena cava (video 1 of the supplementar...

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Autores principales:	Alberto Mendoza, Marta Flores, María Dolores Herrera, Miguel Ángel Granados
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/484364e3a6224f8a8ef20d8dd03fa78d
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spelling	oai:doaj.org-article:484364e3a6224f8a8ef20d8dd03fa78d2021-11-08T09:11:54ZMechanical thrombectomy with the AVP II device10.24875/RECICE.M200001822604-7322https://doaj.org/article/484364e3a6224f8a8ef20d8dd03fa78d2021-11-01T00:00:00Zhttps://recintervcardiol.org/en/index.php?option=com_content&view=article&id=546https://doaj.org/toc/2604-7322Seven-year-old male with single ventricle in the postoperative of a fenestrated extracardiac Fontan procedure. The echocardiography performed 7 days after the procedure confirmed the presence of a 20 mm pedunculated thrombus attached to the wall of the inferior vena cava (video 1 of the supplementary data). Due to the risk of systemic embolism through the Fontan fenestration, the percutaneous extraction of the thrombus was attempted using an Amplatzer Vascular Plug II (AVP II) device (Abbott, United States). A 6-Fr introducer sheath and a 10-Fr sheath were used for the catheterization of the right jugular vein and right femoral vein, respectively. The fenestration was found in the Fontan conduit using an angiography (figure 1). It was catheterized via jugular access and occluded by inflating the balloon of a 6-Fr Wedge-Pressure Catheter (Arrow, United States) to protect an eventual paradoxical embolism (figure 2). The transesophageal echocardiography performed revealed the location of the thrombus in the inferior vena cava and the diameter of the cava was measured at that level (15 mm). The introducer sheath was advanced via femoral access until it landed right underneath the insertion of the thrombus. Through this sheath a folded 16 mm AVP II device was advanced inside an 8-Fr...Alberto MendozaMarta FloresMaría Dolores HerreraMiguel Ángel GranadosPermanyerarticleMedicineRENESREC: Interventional Cardiology (English Ed.), Vol 3, Iss 4, Pp 326-327 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Medicine R
spellingShingle	Medicine R Alberto Mendoza Marta Flores María Dolores Herrera Miguel Ángel Granados Mechanical thrombectomy with the AVP II device
description	Seven-year-old male with single ventricle in the postoperative of a fenestrated extracardiac Fontan procedure. The echocardiography performed 7 days after the procedure confirmed the presence of a 20 mm pedunculated thrombus attached to the wall of the inferior vena cava (video 1 of the supplementary data). Due to the risk of systemic embolism through the Fontan fenestration, the percutaneous extraction of the thrombus was attempted using an Amplatzer Vascular Plug II (AVP II) device (Abbott, United States). A 6-Fr introducer sheath and a 10-Fr sheath were used for the catheterization of the right jugular vein and right femoral vein, respectively. The fenestration was found in the Fontan conduit using an angiography (figure 1). It was catheterized via jugular access and occluded by inflating the balloon of a 6-Fr Wedge-Pressure Catheter (Arrow, United States) to protect an eventual paradoxical embolism (figure 2). The transesophageal echocardiography performed revealed the location of the thrombus in the inferior vena cava and the diameter of the cava was measured at that level (15 mm). The introducer sheath was advanced via femoral access until it landed right underneath the insertion of the thrombus. Through this sheath a folded 16 mm AVP II device was advanced inside an 8-Fr...
format	article
author	Alberto Mendoza Marta Flores María Dolores Herrera Miguel Ángel Granados
author_facet	Alberto Mendoza Marta Flores María Dolores Herrera Miguel Ángel Granados
author_sort	Alberto Mendoza
title	Mechanical thrombectomy with the AVP II device
title_short	Mechanical thrombectomy with the AVP II device
title_full	Mechanical thrombectomy with the AVP II device
title_fullStr	Mechanical thrombectomy with the AVP II device
title_full_unstemmed	Mechanical thrombectomy with the AVP II device
title_sort	mechanical thrombectomy with the avp ii device
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/484364e3a6224f8a8ef20d8dd03fa78d
work_keys_str_mv	AT albertomendoza mechanicalthrombectomywiththeavpiidevice AT martaflores mechanicalthrombectomywiththeavpiidevice AT mariadoloresherrera mechanicalthrombectomywiththeavpiidevice AT miguelangelgranados mechanicalthrombectomywiththeavpiidevice
_version_	1718442709066186752

Mechanical thrombectomy with the AVP II device

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