Endovascular Treatment of Right Heart Masses Utilizing the AngioVac System: A 6-Year Single-Center Observational Study

J Interv Cardiol. 2021 Oct 31:2021:9923440. doi: 10.1155/2021/9923440. eCollection 2021.

Abstract

Objective: To describe our institution's experience with the AngioVac system.

Background: Intracardiac and intravascular masses previously required surgical excision, but now, there are a number of minimally invasive options. With the advent of vacuum aspiration, more specifically the AngioVac System (AngioDynamics, NY, USA), there exists a system with both low mortality and minor complications. However, the number of retrospective studies remains limited. Outcome data for high-risk patients are also limited.

Methods: Data were collected and analyzed in patients who underwent AngioVac therapy at our tertiary care center from January 2014 to December 2020.

Results: Our results demonstrated a 93.3% intraoperative success rate and a 100% intraoperative survival rate. However, a number of complications, including but not limited to hematomas, anemia, and hypotension, occurred, as described below.

Conclusions: Our experiences demonstrated good outcomes and continue to support the usefulness of the AngioVac System. The data also support the use of AngioVac as a treatment option for the debulking or removal of right heart masses in critically ill patients.

Publication types

  • Observational Study

MeSH terms

  • Equipment Design
  • Humans
  • Retrospective Studies
  • Thrombectomy*
  • Thrombosis*
  • Treatment Outcome