Left atrial Lasso catheter thrombus aspiration

Area of Science:

• Cardiology
• Medical Devices
• Echocardiography

Background:

• Intracardiac echocardiography (ICE) use in left-sided ablation increases identification of sheath- and catheter-associated thrombi.
• These thrombi occur in approximately 10% of cases, despite adequate anticoagulation protocols.

Observation:

• Thrombi formation is a recognized complication during left-sided ablation procedures.
• Current management involves withdrawing the sheath and catheter if thrombi are firmly attached.

Findings:

• This case report introduces aspiration as an alternative management strategy for sheath- and catheter-associated thrombi.
• Aspiration offers a novel approach for managing firmly attached thrombi where withdrawal may be challenging.

Implications:

• Aspiration may provide a valuable alternative to sheath/catheter withdrawal for managing intracardiac thrombi.
• Further research is warranted to evaluate the efficacy and safety of aspiration in diverse clinical scenarios.
• This technique could potentially reduce procedural complications and improve patient outcomes.