Murter Christopher D, Sigdel Abindra, Dwivedi Amit J, Wayne Erik J
Division of Vascular and Endovascular Surgery, University of Louisville, Louisville, Ky.
J Vasc Surg Cases Innov Tech. 2019 Nov 13;5(4):472-476. doi: 10.1016/j.jvscit.2019.06.013. eCollection 2019 Dec.
Mural aortic thrombus is a challenging clinical problem with significant potential complications. Particularly precarious are situations with involvement of the visceral segment of the aorta. We describe a technique for percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound to guide an angled mechanical thrombectomy catheter in conjunction with a continuous aspiration system (Indigo mechanical thrombectomy system; Penumbra, Alameda, Calif). Use of this technique in three patients with challenging cases of mural aortic thrombus is discussed. All patients were treated successfully and without complication using this technique.
主动脉壁内血栓是一个具有挑战性的临床问题，存在显著的潜在并发症。特别是主动脉内脏段受累的情况尤为危险。我们描述了一种使用血管内超声引导成角机械血栓切除术导管结合连续抽吸系统（Indigo机械血栓切除术系统；Penumbra公司，加利福尼亚州阿拉米达）进行主动脉壁内血栓经皮血栓切除术的技术。讨论了该技术在3例具有挑战性的主动脉壁内血栓病例中的应用。所有患者使用该技术均成功治疗且无并发症。
