Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-23T23:18:56.410Z Has data issue: false hasContentIssue false
  • English
  • Français

Novel use of a mechanical suction thrombectomy system for interposition graft occlusion in complex congenital heart disease

Part of: Interventional Cardiology

Published online by Cambridge University Press:  25 November 2021

Preston J. Boyer Open the ORCID record for Preston J. Boyer [Opens in a new window] ,
Jeffrey D. Zampi  and
Arash Salavitabar Open the ORCID record for Arash Salavitabar [Opens in a new window]
Preston J. Boyer
Affiliation:
University of Michigan Congenital Heart Center, C.S. Mott Children’s Hospital, Ann Arbor, MI, USA
Jeffrey D. Zampi
Affiliation:
University of Michigan Congenital Heart Center, C.S. Mott Children’s Hospital, Ann Arbor, MI, USA
Arash Salavitabar*
Affiliation:
Nationwide Children’s Hospital, The Heart Center, Department of Pediatrics, The Ohio State University, Columbus, OH, USA
*
Author for correspondence: Arash Salavitabar, MD, FSCAI, FPICS, Cardiac Catheterization & Interventional Therapies, The Heart Center, Nationwide Children’s Hospital, Assistant Professor of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA. Tel: +1 614-722-6150; Fax: 614-722-5030. E-mail: arash.salavitabar@nationwidechildrens.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Complete thrombosis of a pulmonary artery interposition graft in an adolescent with complex repaired CHD was treated successfully with a combination of a novel mechanical thrombectomy system, stent implantation, and thrombolysis. This thrombectomy system used a flexible catheter with a built-in mechanism to attenuate blood loss, while providing effective recanalisation of a foreign graft.

Keywords

Thrombectomycongenital heart diseasepulmonary artery occlusioninterposition graft occlusion
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 7 , July 2022 , pp. 1181 - 1183
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Konstantinides, SV, Meyer, G, Bueno, H, et al. 2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European respiratory society (ERS). Eur Heart J 2020; 41: 543–603.CrossRefGoogle ScholarPubMed
Jensen, AS, Idorn, L, Thomsen, C, et al. Prevalence of cerebral and pulmonary thrombosis in patients with cyanotic congenital heart disease. Heart 2015; 101: 1540–1546.CrossRefGoogle ScholarPubMed
Fleming, GA, Khan, M, Janssen, D, Doyle, T. Angiojet rheolytic thrombectomy in infants following cardiac surgery. Catheter Cardiovasc Interv 2010; 76: 233–240.CrossRefGoogle ScholarPubMed
Hirono, K, Ibuki, K, Tomita, H. Percutaneous catheter aspiration thrombectomy for the occluded stents of pulmonary artery in children with single ventricle physiology after fontan surgery. Catheter Cardiovasc Interv 2014; 84: 1153–1156.CrossRefGoogle ScholarPubMed
Menon, SC, Hagler, DJ, Cetta, F, Cabalka, AK. Rheolytic mechanical thrombectomy for pulmonary artery thrombus in children with complex cyanotic congenital heart disease. Catheter Cardiovasc Interv 2008; 71: 237–243.10.1002/ccd.21343CrossRefGoogle ScholarPubMed
Qureshi, AM, Petit, CJ, Crystal, MA, Liou, A, Khan, A, Justino, H. Efficacy and safety of catheter-based rheolytic and aspiration thrombectomy in children. Catheter Cardiovasc Interv 2016; 87: 1273–1280.CrossRefGoogle ScholarPubMed
Kokov, LS, Korostelev, AN, Grinko, AN, et al. Recanalization and thrombectomy of internal anastomosis in a patient with tetralogy of fallot using the AngioJet rheolytic catheter. Catheter Cardiovasc Interv 2001; 53: 504–507.CrossRefGoogle Scholar
Giri, J, Sista, AK, Weinberg, I, et al. Interventional therapies for acute pulmonary embolism: current status and principles for the development of novel evidence. Circulation 2019; 140: E774–801.CrossRefGoogle ScholarPubMed
Sista, AK, Horowitz, JM, Tapson, VF, et al. Indigo aspiration system for treatment of pulmonary embolism: results of the EXTRACT-PE trial. JACC Cardiovasc Interv 2021; 14: 319–329.CrossRefGoogle ScholarPubMed
Hubara, E, Borik, S, Kenet, G, Mishaly, D, Vardi, A. Catheter-directed thrombolysis for in-situ pulmonary artery thrombosis in children. Ann Pediatr Cardiol 2021; 14: 211–214.CrossRefGoogle ScholarPubMed