Haque Mahfujul Z, Akbar Taha, Saleem Abdulmalik, Husain Mashkur
Michigan State University College of Human Medicine Grand Rapids Michigan USA.
The Ohio State University College of Arts and Sciences Columbus Ohio USA.
Clin Case Rep. 2023 May 22;11(5):e7390. doi: 10.1002/ccr3.7390. eCollection 2023 May.
This case report discusses the effectiveness of the Inari FlowTriever system in treating a right atrial (RA) clot in-transit in a 55-year-old male patient with Becker's muscular dystrophy (BMD). BMD is an X-linked recessive muscle disease caused by mutations in the gene that code for the protein dystrophin, which is associated with partially functional dystrophin in variable amounts. Right heart thrombi (RHT) are thrombi that can be visualized in the right atrium, right ventricle, or proximal surrounding vasculature. The Inari FlowTriever system was used to treat RA clot in-transit and removed acute, subacute, and chronic clot in a single session without the use of thrombolytics and subsequent ICU stay. The estimated blood loss with the FlowSaver system was approximately 150 mL. This report complements the FLARE study by highlighting the effectiveness of the FlowTriever system for mechanical thrombectomy of RA clot-in-transit in a patient with BMD.
本病例报告讨论了Inari FlowTriever系统在治疗一名患有贝克肌肉营养不良症（BMD）的55岁男性患者右心房（RA）移动性血栓方面的有效性。BMD是一种X连锁隐性肌肉疾病，由编码抗肌萎缩蛋白的基因突变引起，该蛋白与数量不等的部分功能性抗肌萎缩蛋白相关。右心血栓（RHT）是指可在右心房、右心室或近端周围血管系统中显影的血栓。Inari FlowTriever系统用于治疗移动性RA血栓，在不使用溶栓药物且无需后续入住重症监护病房的情况下，单次治疗即可清除急性、亚急性和慢性血栓。使用FlowSaver系统的估计失血量约为150毫升。本报告通过强调FlowTriever系统对BMD患者移动性RA血栓进行机械血栓切除术的有效性，对FLARE研究进行了补充。
