Research Article

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

Table 4

Prior retrospective studies.

Donaldson et al. [5]Salsamendi et al. [14]Al Badri et al. [7]Rajput et al. [15]Fallon et al. [16]Moriarty et al. [13]

Year201520152016202020202021
Patients (n)15771658234
Mean age (years)5049.651.5484850.8
Female sex (n)3451227111
IndicationCaval thrombus (n = 11)Caval thrombus (n = 2)IVC-associated mass (n = 3)Right-sided intracardiac mass (n = 11)Sterile thrombus (n = 30)Right-sided intracardiac mass (n = 123)
Pulmonary embolism (n = 5)Fontan conduit and Glenn shunt mass (n = 1)Pulmonary embolism (n = 2)Catheter-associated thrombus (n = 7)Cardiac device-associated vegetation (n = 8)Catheter-associated thrombus (n = 25)
Catheter-associated thrombus (n = 2)Intracardiac mass (n = 4)Catheter-associated thrombus (n = 2)Caval thrombus (n = 9)Chronic vascular access-associated vegetation (n = 16)Caval thrombus (n = 91)
Concurrent pulmonary embolism (n = 7)IVDU-related vegetation (n = 4)Pulmonary embolism (n = 7)
Left-sided intracardiac mass (n = 1)
LocationRA (n = 11)Vena cava (n = 2)RA into RV (n = 4)RA (n = 11)SVC (n = 17)SVC (n = 13)
RV (n = 3)PA (n = 2)IVC (n = 3)Vena cava (n = 9)RA (n = 31)RA (n = 98)
RA (n = 1)TV/RV (n = 11)TV (n = 14)
IVC (n = 1)PA (n = 1)RV (n = 4)
SVC (n = 1)IVC (n = 24)IVC (n = 1)
Infrailiac (n = 8)
Average size of the massNANANA4.1 cm3.2 cmNA
Procedural success11561314182
Postprocedural complicationsBleeding (n = 11)Hematoma (n = 3)Cardiogenic shock (n = 1)Transfusion without overt bleeding (n = 10)Persistent or recurrent bacteremia (n = 11)Bleeding (n = 9)
Shock (n = 5)Shock (n = 1)Pulmonary embolism (n = 8)Transfusion (n = 59)
Hemodialysis (n = 3)Hemodialysis (n = 2)Persistent tricuspid regurgitation (n = 19)Pulmonary embolism (n = 1)
Liver failure (n = 2)Persistent bacteremia (n = 1)
Stroke (n = 1)
Hematoma (n = 4)
Arrhythmia (n = 3)
Average LOS23NA2013.8216.84NA
Intraprocedural survival13771457231
Survival to discharge137714NANA

IVC: inferior vena cava; IVDU: intravenous drug use; LOS: length of stay; PA: pulmonary artery; RA: right atrium; RV: right ventricle; SVC: superior vena cava; TV: tricuspid valve.