Emergent mechanical thrombectomy for right atrial clot and massive
pulmonary embolism using FlowTriever.
The association of right heart thrombus (RiHT) and massive pulmonary
embolism (PE) has an incidence of 4-18%. It is a life-threatening
condition that requires emergent diagnosis and treatment with reported
fatal outcomes up to 21% in 14 days. Endovascular mechanical
thrombectomy of right heart clot has been described focused on the use
of AngioVac (AngioDynamics, Latham, NY, USA), however, a recent report
supported the safety of image guided FlowTriever(Inari Medical Inc.,
Irvine, CA, USA). Our case report describes the use of FlowTriever
device as a unique modality to treat clot in transit and massive PE when
thrombolysis is contraindicated.