Resolving a sticky situation: a case report of mechanical thrombectomy of Histoacryl emboli in the right atrium and inferior vena cava

Abstract: A 68-year-old male with liver cirrhosis presented with dizziness and dyspnea two days after endoscopic Histoacryl occlusion of gastric varicses. Imaging revealed a large endovascular embolization of Histoacryl glue, spanning from porto-caval collaterals via the inferior vena cava to the right atrium, partially occluding right atrial inflow. This case report describes the successful removal of this large net-like mass of Histoacryl glue using thrombectomy devices from the inferior vena cava and the right atrium. Postprocedure imaging showed near-complete clearance with residual fragments in the superior mesenteric vein and small emboli in the pulmonary arteries. The patient was discharged in stable condition. Histoacryl glue can cause severe complications if embolized. This case highlights the potential of advanced thrombectomy devices for managing embolic complications from endovascular treatments

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
Radiology case reports. - 19, 11 (2024) , 5313-5317, ISSN: 1930-0433

Klassifikation
Recht

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2024
Urheber
Can, Elif
Doppler, Michael Christian
Wintergerst, Charlotte
Efinger, Niklas
Udi, Josefina
Sekandarzad, Asieb
Uller, Wibke
Vogt, Katharina
Grundmann, Sebastian

DOI
10.1016/j.radcr.2024.08.024
URN
urn:nbn:de:bsz:25-freidok-2571067
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
25.03.2025, 13:50 MEZ

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  • 2024

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