EuroIntervention. 2024 Oct 21;20(20):e1267-e1275. doi: 10.4244/EIJ-D-24-00245.
Intravascular and intracardiac masses are usually represented by thrombi, tumours, and vegetations. They can affect both the right and left chambers of the heart and the venous and arterial circulation. Traditionally, their treatment is surgical or, in some circumstances, based on systemic anticoagulation/fibrinolysis. However, the complexity and frailty of patients who sometimes present with these conditions have pushed surgeons to find alternative minimally invasive effective treatments. While small masses can be removed with multiple devices, large masses are a more challenging problem. Vacuum-assisted aspiration systems such as the AngioVac System were developed to treat intravenous and right-sided heart thrombi. The application of the AngioVac System was widened to right-sided endocarditis and, later, to left-sided thrombi and vegetations. This review summarises the clinical results of different uses of the vacuum-assisted aspiration system to treat intravenous and intracardiac masses.
血管内和心腔内肿块通常由血栓、肿瘤和赘生物引起。它们可以影响心脏的左右心室以及静脉和动脉循环。传统上，它们的治疗方法是手术，或者在某些情况下，基于全身抗凝/溶栓。然而，由于这些病症的患者有时病情复杂且身体虚弱，外科医生不得不寻找替代的微创有效治疗方法。虽然可以使用多种设备来清除较小的肿块，但对于较大的肿块则是一个更具挑战性的问题。为此，开发了真空辅助抽吸系统，如 AngioVac 系统，用于治疗静脉和右心血栓。AngioVac 系统的应用范围扩大到了右侧心内膜炎，后来又扩大到了左侧血栓和赘生物。本文综述了真空辅助抽吸系统治疗静脉和心腔内肿块的不同用途的临床结果。
