Related Experiment Video

Updated: Dec 28, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

4.3K

Transesophageal echocardiography guidance for atrial-caval thrombus removal with the AngioVac system

Scott D Miller1, Daniel C Lee2, Bradley T Dollar3

  • 1Division of Cardiothoracic Anesthesiology, Baylor Scott & White Medical Center and Texas A&M University College of MedicineTempleTexas.

Proceedings (Baylor University. Medical Center)
|February 18, 2020
PubMed

Insights

Transesophageal echocardiography (TEE) enhances thromboembolectomy by assessing clots and guiding catheters. This real-time imaging improves patient safety during intracardiac and great vessel clot removal.

Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology
  • Medical Devices

Background:

  • Thromboembolectomy procedures for intracardiac and great vessel thromboemboli often rely on fluoroscopy.
  • Fluoroscopy provides limited visualization of thrombus characteristics and surrounding structures.
  • There is a need for advanced imaging to improve procedural guidance and patient safety.

Observation:

  • Transesophageal echocardiography (TEE) offers real-time, high-resolution imaging of the heart and great vessels.
  • TEE can accurately assess the size, location, and characteristics of thromboemboli.
  • TEE facilitates precise placement of suction catheters during thromboembolectomy.

Findings:

  • TEE enables direct visualization and guidance for suction catheter navigation, minimizing intracardiac injury.
  • It serves as a crucial hemodynamic monitor throughout the procedure.
  • Post-embolectomy TEE assesses residual thrombotic material and blood flow, confirming procedure success.

Implications:

  • TEE integration into thromboembolectomy significantly enhances procedural precision and patient safety.
  • This modality offers a low-risk, high-value alternative or adjunct to traditional imaging.
  • Widespread adoption of TEE in thromboembolectomy could lead to improved clinical outcomes.

Keywords:
Chronic thrombussuction-directed catheterthromboembolismtransesophageal echocardiography

More Related Videos

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

33.8K
The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

84.3K

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
228
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
222
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
548