JACC. Case reports · 2026
Transcatheter Left Ventricular Thrombectomy in a Critically Ill Child Using a Novel Retrieval Device.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Linnane Niall, Howell Mary, Britt Jolie J, Qureshi Athar M, Gowda Srinath T
Аннотация
BACKGROUND: Left ventricular (LV) thrombectomy is a high-risk procedure, but when anticoagulation fails, it may be an important treatment option to prevent a catastrophic outcome.
CASE SUMMARY: A 13-year-old boy with congenitally corrected transposition of the great arteries developed an LV thrombus after heart transplantation despite systemic anticoagulation. Given ongoing cerebrovascular events, we elected thrombus removal via transcatheter snare thrombectomy assisted by the ONO retrieval device.
DISCUSSION: There is limited evidence on the management of LV thrombectomy if anticoagulation fails. Newer catheter techniques and equipment can allow operators to perform this technique safely with adequate embolic protection in select pediatric patients with suitable arterial vascular access. Collaboration with imaging colleagues is key to success.
TAKE-HOME MESSAGE: Alternative access sites, novel device use, and collaboration and learning from colleagues can expand the repertoire of congenital interventionalists to treat high-risk and rare conditions.
CASE SUMMARY: A 13-year-old boy with congenitally corrected transposition of the great arteries developed an LV thrombus after heart transplantation despite systemic anticoagulation. Given ongoing cerebrovascular events, we elected thrombus removal via transcatheter snare thrombectomy assisted by the ONO retrieval device.
DISCUSSION: There is limited evidence on the management of LV thrombectomy if anticoagulation fails. Newer catheter techniques and equipment can allow operators to perform this technique safely with adequate embolic protection in select pediatric patients with suitable arterial vascular access. Collaboration with imaging colleagues is key to success.
TAKE-HOME MESSAGE: Alternative access sites, novel device use, and collaboration and learning from colleagues can expand the repertoire of congenital interventionalists to treat high-risk and rare conditions.