Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution
CASE RESOLUTION Our patient, with recurrent prosthetic valve thrombosis (PVT) and a thrombus area < 0.8 cm2 was treated with thrombolysis but without clinical or echocardiographic improvement. It was considered that a third cardiac surgery would be too risky. Since the thrombotic load was not...
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| Format: | Article |
| Language: | English |
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Permanyer
2021-02-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=473 |
| _version_ | 1818668931336896512 |
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| author | Francisco Pomar Domingo Margarita Gudín Uriel Pau Federico Zaragoza Luis Martínez Ortiz de Urbina Teresa Castelló Viguer Enrique Peris Domingo |
| author_facet | Francisco Pomar Domingo Margarita Gudín Uriel Pau Federico Zaragoza Luis Martínez Ortiz de Urbina Teresa Castelló Viguer Enrique Peris Domingo |
| author_sort | Francisco Pomar Domingo |
| collection | DOAJ |
| description | CASE RESOLUTION Our patient, with recurrent prosthetic valve thrombosis (PVT) and a thrombus area < 0.8 cm2 was treated with thrombolysis but without clinical or echocardiographic improvement. It was considered that a third cardiac surgery would be too risky. Since the thrombotic load was not high, we decided to proceed with the percutaneous manipulation of the valve using the technique described by Jabbour et al.1 in a patient with acute thrombosis of a tilting-disc aortic valve. This patient was treated with percutaneous manipulation of the disc trapped using a rigid catheter. Hariram2 also reported on a series of 5 patients with mitral PVT and failed fibrinolytic therapy successfully treated through percutaneous manipulation of the valve using a 6 Fr-Judkins guide catheter. In our case, the procedure was performed under general anesthesia with fluoroscopy and transesophageal echocardiography guidance. The right femoral vein was used as the access site. The transseptal puncture was performed using a Mullins introducer sheath and a Brockenbrough needle in the superior-posterior portion of the oval fossa. After the IV administration of sodium heparin (100 IU/kg) and mounted over a 0.032 in J guidewire a 3.5/6-Fr EBU guide catheter (Medtronic Launcher; Minneapolis, United States) was successfully inserted into the left... |
| first_indexed | 2024-12-17T06:44:09Z |
| format | Article |
| id | doaj.art-b0c4532dfacb4af4b59572f87d590300 |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-12-17T06:44:09Z |
| publishDate | 2021-02-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-b0c4532dfacb4af4b59572f87d5903002022-12-21T21:59:48ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222021-02-0131757710.24875/RECICE.M20000133Percutaneous management of recurrent prosthetic valve thrombosis. Case resolutionFrancisco Pomar Domingo0Margarita Gudín Uriel1Pau Federico Zaragoza2Luis Martínez Ortiz de Urbina3Teresa Castelló Viguer4Enrique Peris Domingo5Servicio de Cardiología, Hospital Universitario La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Universitario La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Universitario La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Universitario La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Universitario La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Universitario La Ribera, Alzira, Valencia, SpainCASE RESOLUTION Our patient, with recurrent prosthetic valve thrombosis (PVT) and a thrombus area < 0.8 cm2 was treated with thrombolysis but without clinical or echocardiographic improvement. It was considered that a third cardiac surgery would be too risky. Since the thrombotic load was not high, we decided to proceed with the percutaneous manipulation of the valve using the technique described by Jabbour et al.1 in a patient with acute thrombosis of a tilting-disc aortic valve. This patient was treated with percutaneous manipulation of the disc trapped using a rigid catheter. Hariram2 also reported on a series of 5 patients with mitral PVT and failed fibrinolytic therapy successfully treated through percutaneous manipulation of the valve using a 6 Fr-Judkins guide catheter. In our case, the procedure was performed under general anesthesia with fluoroscopy and transesophageal echocardiography guidance. The right femoral vein was used as the access site. The transseptal puncture was performed using a Mullins introducer sheath and a Brockenbrough needle in the superior-posterior portion of the oval fossa. After the IV administration of sodium heparin (100 IU/kg) and mounted over a 0.032 in J guidewire a 3.5/6-Fr EBU guide catheter (Medtronic Launcher; Minneapolis, United States) was successfully inserted into the left...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=473 |
| spellingShingle | Francisco Pomar Domingo Margarita Gudín Uriel Pau Federico Zaragoza Luis Martínez Ortiz de Urbina Teresa Castelló Viguer Enrique Peris Domingo Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution REC: Interventional Cardiology (English Ed.) |
| title | Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution |
| title_full | Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution |
| title_fullStr | Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution |
| title_full_unstemmed | Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution |
| title_short | Percutaneous management of recurrent prosthetic valve thrombosis. Case resolution |
| title_sort | percutaneous management of recurrent prosthetic valve thrombosis case resolution |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=473 |
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