Case Report

Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device

Figure 4

Mobilization of wall-adherent thrombus with the rotational thrombectomy device. (a) The funnel at the tip (dotted cone) of the AngioVac cannula is positioned just proximal to the tip of the Cleaner 15™ thrombectomy device. Note that the sinusoidal wire has been released from the catheter of the rotational thrombectomy device. (b) Under continuous aspiration of the AngioVac system, the rotational thrombectomy device is engaged, and the sinusoidal wire rotates within the vessel. The white ellipsoid shows the rotating action of the sinusoidal wire.
(a)
(b)