Endovascular Therapy for Symptomatic Mobile Thrombus of Infrarenal Abdominal Aorta

Luckeroth, Patricia; Steppacher, Robert; Rohrer, Michael J.; Eslami, Mohammad H.

doi:10.1177/1538574409334823

Cited by 6 publications

(2 citation statements)

References 33 publications

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“…Likewise, successful exclusion of a pedunculated thrombus of the infrarenal aorta could be obtained by using balloon occlusion of the contralateral iliac artery. 19 In our case, a minimally invasive approach could not be proposed as a safe solution for a juxtarenal aneurysm with menacing mobile thrombi. Previous clamping of iliac vessels (and visceral if needed) is hence pivotal in order to prevent embolic transit during aortic isolation.…”

Section: Discussionmentioning

confidence: 89%

The challenge of posttraumatic thrombus embolization from abdominal aortic aneurysm causing acute limb ischemia

Nigro

Giovannacci

Engelberger

et al. 2011

Journal of Vascular Surgery

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We report the first documented case of distal thromboembolism originating from an abdominal aortic aneurysm (AAA) after a blunt trauma. A 72-year-old man with a known 6.2 cm AAA was brought to our emergency department with signs of bilateral acute limb ischemia developing immediately after an accidental fall. The occlusion was confirmed at computed tomographic angiography, and the aneurysm showed a fragmentated/ulcerated mural thrombus, morphologically different as compared to the previous computed tomography (CT). A thromboembolectomy was performed and, after treatment of the ischemic complications, the aneurysm was repaired by open surgery. Embolization from aneurysms in the setting of a trauma is a challenge for the vascular surgeon, also because of its rare occurrence. We describe the management and discuss the operative strategy we opted for in this patient.

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Section: Discussionmentioning

confidence: 89%

The challenge of posttraumatic thrombus embolization from abdominal aortic aneurysm causing acute limb ischemia

Nigro

Giovannacci

Engelberger

et al. 2011

Journal of Vascular Surgery

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“…14–16,20–23 As endovascular procedures have become more common for aortic and peripheral vascular diseases, there have been many reports of covering these lesions with endografts. 24–31 Higher rates of complications 1,29 as well as occasional catastrophic results 32 have also been reported with this approach in patients with phantom thrombus.…”

Section: Discussionmentioning

confidence: 98%

Initial and intermediate-term treatment of the phantom thrombus (primary non-occlusive mural thrombus on normal arteries)

et al. 2018

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An embolic event originating from thrombus on an otherwise un-diseased or minimally diseased proximal artery (Phantom Thrombus) is a rare but significant clinical challenge. All patients from a single center with an imaging defined luminal thrombus with a focal mural attachment site on an artery were evaluated retrospectively. We excluded all patients with underlying anatomic abnormalities of the vessel at the attachment site. Six patients with a mean age of 62.5 years were identified over a 2.5-year period. All patients had completed treatment for or had a current diagnosis of malignancy and none were on antiplatelets or other anticoagulants. Four thrombi originated in the aorta proximal to the renal arteries and one originated distal. One thrombus was found in the common carotid artery and one was in an arterialized vein graft. Mean follow-up was 22 months. None of the patients underwent removal or exclusion of the embolic source. With systemic anticoagulation, four of the phantom thrombi were resolved on imaging within 8 weeks, one resolved after 72 weeks. One phantom thrombus reoccurred after 6 months on reduced anticoagulant dosing. There was one acute and one death in follow-up (26 months). One patient required a partial foot amputation secondary to tissue necrosis from the initial thromboembolic event. Arterial thrombi forming on otherwise normal vessels are a distinct clinical entity. In patients with a phantom thrombus, a strategy of therapeutic anticoagulation for management of the embolic source seems to be safe and effective over both the short and intermediate-term.

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Thrombus muraux thoraciques : Une série et une revue de la littérature

Morris

Galiñanes

Nichols

et al. 2011

Annales de Chirurgie Vasculaire

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Endovascular Therapy for Symptomatic Mobile Thrombus of Infrarenal Abdominal Aorta

Cited by 6 publications

References 33 publications

The challenge of posttraumatic thrombus embolization from abdominal aortic aneurysm causing acute limb ischemia

The challenge of posttraumatic thrombus embolization from abdominal aortic aneurysm causing acute limb ischemia

Initial and intermediate-term treatment of the phantom thrombus (primary non-occlusive mural thrombus on normal arteries)

Thrombus muraux thoraciques : Une série et une revue de la littérature

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