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Successful Angiojet® aortic thrombectomy of extracorporeal membrane oxygenation-related thrombus in a newborn


1 Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA
2 Division of Cardiology, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, Division of Critical Care, University of Alabama at Birmingham, Birmingham, Alabama, USA
3 Department of Pediatrics, Division of Pediatric Cardiology, University of Alabama at Birmingham, Birmingham, Alabama, USA

Correspondence Address:
Dr. Mark A Law
WIC 1700 6th Avenue S, Suite 9100 176F, Birmingham, Alabama 35233
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_26_18

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Year : 2018  |  Volume : 11  |  Issue : 3  |  Page : 300-303

 

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Thrombosis and systemic embolization are important complications of extracorporeal membrane oxygenation (ECMO). We present a 2.5 kg neonate born at 37.4 weeks with hypoplastic left heart supported on ECMO that developed an acute, occlusive distal aortic thrombus that was emergently managed by transcatheter Angiojet® (Boston Scientific, Boston, MA) thrombectomy. The procedure successfully restored perfusion to the lower extremities with sustained result upon 1-week follow-up. This case highlights the Angiojet® thrombectomy as a treatment option for limb- or organ-threatening acute thrombus in even the most complex ECMO patients.






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1 Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA
2 Division of Cardiology, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, Division of Critical Care, University of Alabama at Birmingham, Birmingham, Alabama, USA
3 Department of Pediatrics, Division of Pediatric Cardiology, University of Alabama at Birmingham, Birmingham, Alabama, USA

Correspondence Address:
Dr. Mark A Law
WIC 1700 6th Avenue S, Suite 9100 176F, Birmingham, Alabama 35233
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_26_18

Rights and Permissions

Thrombosis and systemic embolization are important complications of extracorporeal membrane oxygenation (ECMO). We present a 2.5 kg neonate born at 37.4 weeks with hypoplastic left heart supported on ECMO that developed an acute, occlusive distal aortic thrombus that was emergently managed by transcatheter Angiojet® (Boston Scientific, Boston, MA) thrombectomy. The procedure successfully restored perfusion to the lower extremities with sustained result upon 1-week follow-up. This case highlights the Angiojet® thrombectomy as a treatment option for limb- or organ-threatening acute thrombus in even the most complex ECMO patients.






[FULL TEXT] [PDF]*


        
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