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Management Strategies for Descending Thoracic Aortic Thrombus: A Review of the Literature

Quynh Nguyen1, Xiya Ma2, Dominique Vervoort3

  • 1Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.

Innovations (Philadelphia, Pa.)
|July 22, 2022
PubMed

Insights

Descending thoracic aortic thrombus (DTAT) can cause serious embolic events. Medical management is often successful, but endovascular therapy may be needed if conservative approaches fail.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Radiology

Background:

  • Descending thoracic aortic thrombus (DTAT) is an under-recognized cause of systemic emboli.
  • DTAT can lead to catastrophic embolic consequences.
  • Current guidelines for DTAT management are lacking.

Purpose of the Study:

  • To review the clinical presentation of DTAT.
  • To examine diagnostic methods and findings for DTAT.
  • To evaluate outcomes of various treatment options for DTAT.

Main Methods:

  • Systematic review of existing literature.
  • Analysis of clinical presentation, diagnostic imaging, and treatment outcomes.
  • Comparison of medical and endovascular treatment approaches.

Main Results:

  • Medical management is the most common initial approach for DTAT.
  • Medical management reports a high success rate.
  • Endovascular therapy is an option for thrombus exclusion if conservative management fails.

Conclusions:

  • DTAT requires further recognition and research.
  • A multimodal approach to DTAT diagnosis and management is essential.
  • Treatment strategies should be individualized based on patient presentation and risk stratification.

Keywords:
aortic thrombusdescending aortic thrombusfloating thrombusmural thrombus

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