Related Experiment Video
Updated: Nov 13, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
611
A novel approach to percutaneous aortic thrombectomy.
Quinn Silverglate1, Thomas S Maldonado2, Navneet Narula3
1Grossman School of Medicine, New York University, New York, NY.
Journal of Vascular Surgery Cases and Innovative Techniques
|March 15, 2021
Summary
Aortic mural thrombus, a rare condition, can cause limb loss. Percutaneous mechanical thrombectomy offers a minimally invasive treatment option for this condition, successfully removing thrombi in two patients.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Thrombosis Research
Background:
- Aortic mural thrombus without underlying aortic disease is uncommon.
- It poses a significant risk of arterial embolization, potentially leading to limb loss or end-organ damage.
- Traditional treatments like open surgery, anticoagulation, and thrombolysis have associated risks.
Observation:
- Two male patients (56 and 68 years old) presented with limb-threatening ischemia due to aortic thrombus with distal emboli.
- Neither patient had pre-existing aortic pathology.
- Both patients underwent percutaneous mechanical thrombectomy.
Findings:
- The FlowTriever System was utilized for mechanical thrombectomy.
- Successful removal of the aortic thrombus was achieved in both patients.
- The procedure effectively resolved the embolic source.
Implications:
- Percutaneous mechanical thrombectomy presents a viable, less invasive alternative to traditional treatments for aortic mural thrombus.
- This approach may reduce the risks associated with open surgery and systemic thrombolysis.
- Further research into this technique could improve outcomes for patients with embolic events originating from aortic thrombi.
