Basman Craig, Rashid Umar, Parmar Yuvrajsinh J, Kliger Chad, Kronzon Itzhak
Department of Cardiovascular Medicine, Lenox Hill Hospital-Northwell Health, New York, New York.
J Card Surg. 2018 Oct;33(10):666-672. doi: 10.1111/jocs.13806. Epub 2018 Sep 5.
Vacuum-assisted thrombectomy (VAT) is a mechanical suction device that can be deployed to aspirate thrombi in the heart and vascular system. Successful percutaneous aspiration of iliocaval, right heart, and pulmonary arterial thrombi have been reported, in addition to the debulking of intravascular and intracardiac masses and vegetations. VAT is indicated for patients who are poor surgical candidates and/or have a contraindication to thrombolysis. This review discusses the mechanism, current results, potential clinical indications, and limitations of VAT for iliocaval and intracardiac mass removal.
真空辅助血栓切除术（VAT）是一种机械抽吸装置，可用于抽吸心脏和血管系统中的血栓。除了减少血管内和心内肿块及赘生物外，已有关于成功经皮抽吸髂股静脉、右心和肺动脉血栓的报道。VAT适用于手术风险高和/或有溶栓禁忌证的患者。本文综述了VAT用于髂股静脉和心内肿块清除的机制、当前结果、潜在临床适应证及局限性。
