Proof of Concept: Microinvasive AngioVac Approach in Renal Cell Carcinoma With Atrial Thrombosis.

Gerosa, Gino; Bagozzi, Lorenzo; Tessari, Chiara; Pittarello, Demetrio; Zanella, Fabio; Mancini, Mariangela; Prayer-Galetti, Tommaso; Cillo, Umberto et al. · Ann Thorac Surg · 2021

case_report · Level V

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Abstract

The AngioVac system (AngioDynamics, Latham, NY) has already been described for treatment of thrombotic formations concerning the venous district and the tricuspid valve. We describe an innovative application of the AngioVac system to treat the inferior vena cava thrombosis associated with renal cell carcinoma. In a high surgical risk patient, we utilized a microinvasive and a modified venoarterial AngioVac circuit to remove the atrial thrombus, ensure temporary circulatory support during abdominal surgery, and prevent pulmonary embolism.

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