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Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy. J Vasc Surg Cases Innov Tech 2021 Sep;7(3):429-432

Date

07/20/2021

Pubmed ID

34278077

Pubmed Central ID

PMC8263520

DOI

10.1016/j.jvscit.2021.05.003

Scopus ID

2-s2.0-85110087793 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

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.

Author List

Rolon S, Wood JC, Mansukhani NA, Hieb RA, Malinowski MJ, Lewis BD, Brown KR, Rossi PJ

Authors

Kellie R. Brown MD Professor in the Surgery department at Medical College of Wisconsin
Robert A. Hieb MD, RVT, FSIR Professor in the Radiology department at Medical College of Wisconsin
Brian D. Lewis MD Professor in the Surgery department at Medical College of Wisconsin
Michael Malinowski MD Associate Professor in the Surgery department at Medical College of Wisconsin
Peter J. Rossi MD Chief, Professor in the Surgery department at Medical College of Wisconsin