Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy
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....
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-09-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428721000915 |
| _version_ | 1819138099520733184 |
|---|---|
| author | Santiago Rolon, MD Jacob C. Wood, MD, FACS Neel A. Mansukhani, MD, FACS Robert A. Hieb, MD, RVT, FSIR Michael J. Malinowski, MD, FACS Brian D. Lewis, MD, FACS Kellie R. Brown, MD, FACS Peter J. Rossi, MD, FACS |
| author_facet | Santiago Rolon, MD Jacob C. Wood, MD, FACS Neel A. Mansukhani, MD, FACS Robert A. Hieb, MD, RVT, FSIR Michael J. Malinowski, MD, FACS Brian D. Lewis, MD, FACS Kellie R. Brown, MD, FACS Peter J. Rossi, MD, FACS |
| author_sort | Santiago Rolon, MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T11:01:23Z |
| format | Article |
| id | doaj.art-581ad4f5471646f0a79dc7def17fa168 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-22T11:01:23Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-581ad4f5471646f0a79dc7def17fa1682022-12-21T18:28:29ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-09-0173429432Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomySantiago Rolon, MD0Jacob C. Wood, MD, FACS1Neel A. Mansukhani, MD, FACS2Robert A. Hieb, MD, RVT, FSIR3Michael J. Malinowski, MD, FACS4Brian D. Lewis, MD, FACS5Kellie R. Brown, MD, FACS6Peter J. Rossi, MD, FACS7Division of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WiscDivision of Vascular and Endovascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisc; Correspondence: Peter J. Rossi, MD, FACS, Division of Vascular Surgery, Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226Aortic 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.http://www.sciencedirect.com/science/article/pii/S2468428721000915ThrombectomyEmbolectomyAortic thrombusMesenteric ischemiaLimb ischemia |
| spellingShingle | Santiago Rolon, MD Jacob C. Wood, MD, FACS Neel A. Mansukhani, MD, FACS Robert A. Hieb, MD, RVT, FSIR Michael J. Malinowski, MD, FACS Brian D. Lewis, MD, FACS Kellie R. Brown, MD, FACS Peter J. Rossi, MD, FACS Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy Journal of Vascular Surgery Cases and Innovative Techniques Thrombectomy Embolectomy Aortic thrombus Mesenteric ischemia Limb ischemia |
| title | Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy |
| title_full | Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy |
| title_fullStr | Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy |
| title_full_unstemmed | Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy |
| title_short | Hybrid repair for acute aortic occlusion using aortobifemoral bypass and AngioVac thrombectomy |
| title_sort | hybrid repair for acute aortic occlusion using aortobifemoral bypass and angiovac thrombectomy |
| topic | Thrombectomy Embolectomy Aortic thrombus Mesenteric ischemia Limb ischemia |
| url | http://www.sciencedirect.com/science/article/pii/S2468428721000915 |
| work_keys_str_mv | AT santiagorolonmd hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT jacobcwoodmdfacs hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT neelamansukhanimdfacs hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT robertahiebmdrvtfsir hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT michaeljmalinowskimdfacs hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT briandlewismdfacs hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT kellierbrownmdfacs hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy AT peterjrossimdfacs hybridrepairforacuteaorticocclusionusingaortobifemoralbypassandangiovacthrombectomy |