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Current Cardiology Reports

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01-04-2022 | New Therapies for Cardiovascular Disease (AA Bavry and MR Massoomi, Section Editors)

AngioVac for Minimally Invasive Removal of Intravascular and Intracardiac Masses: a Systematic Review

Authors: Tariq Enezate, Deya Alkhatib, Joel Raja, Viswanatha Chinta, Mitul Patel, Jad Omran

Published in: Current Cardiology Reports | Issue 4/2022

Abstract

Purpose of Review

Management of intracardiac masses, such as right heart thrombi and catheter-related vegetations, can be challenging. Many patients are high-risk candidates for surgical extraction due to multiple comorbidities and risk of distal embolization. In this review, we highlight the advancements in percutaneous approaches for treatment of intracardiac masses utilizing AngioVac (AngioDynamic, Latham, NY).

Recent Findings

With the Food and Drug Administration (FDA) approval of the AngioVac System in 2009, a growing body of evidence has proven it to be a feasible and effective tool to extract thrombi and masses from the iliocaval system and the right heart.

Summary

In this review, we highlight the feasibility of AngioVac System (AngioDynamic, Latham, NY) based on the published cases series and registries. Future randomized controlled trials are needed to establish an algorithmic approach in treating intracardiac masses.

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•• Moriarty JM, Rueda V, Liao M, et al. Endovascular removal of thrombus and right heart masses using the AngioVac System: results of 234 patients from the prospective, multicenter Registry of AngioVac Procedures in Detail (RAPID). J Vasc Interv Radiol. 2021;32(4):549–57. https://doi.org/10.1016/j.jvir.2020.09.012. Findings from this study suggest that the AngioVac System was successful in 73.6%, 58.5%, 60%, and 57.1% of patients with caval thromboemboli, right heart mass, catheter-related thrombi, and PE, respectively.

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Moriarty JM, Al-Hakim R, Bansal A, Park JK. Removal of caval and right atrial thrombi and masses using the AngioVac device: initial operative experience. J Vasc Interv Radiol. 2016;27(10):1584–91. https://doi.org/10.1016/j.jvir.2016.03.045.CrossRefPubMed

Title: AngioVac for Minimally Invasive Removal of Intravascular and Intracardiac Masses: a Systematic Review
Authors: Tariq Enezate
Deya Alkhatib
Joel Raja
Viswanatha Chinta
Mitul Patel
Jad Omran
Publication date: 01-04-2022
Publisher: Springer US
Published in: Current Cardiology Reports / Issue 4/2022
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-022-01658-9

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