Transcatheter mechanical thrombectomy of neonatal occlusive aortic thrombus using an Amplatzer Piccolo PDA occluder

Abstract

Neonatal aortic thrombus is a rare and critical condition that can present mimicking severe coarctation of the aorta or interrupted aortic arch. Transcatheter thrombectomy for this lesion has not been well described. We report a premature neonate with an occlusive proximal descending aorta thrombus, who underwent transcatheter mechanical thrombectomy using an Amplatzer Piccolo PDA occluder (Abbott, North Chicago, IL, USA). The procedure was successful with no subsequent distal thromboembolic events.

Percutaneous Device Closure of Ductus Arteriosus in a 1.3Kg Baby

“…Amplatzer Piccolo Occluder is the first choice for very low weight neonates. 8,9 Amplatzer duct Occluder II (ADO II) device is a softer device and the next best we can get in Pakistan as Piccolo device is not available here. 10 Device associated left pulmonary artery stenosis and obstruction of aorta are known to occur and need to be taken care of.…”