IVC #CLOT in Transit . . Follow @cardiovisual for more content on cardiology . . Great post by @cardiologyoncall . . Young pt w/ subsegmental #PE and mobile clot from RCIV ➡️ suprarenal IVC . . Thrombectomy is a great option here. Two options are aspiration or direct mechanical. One concern here is embolizing the clot to the lungs worsening the already present pulmonary embolism. . . My fellow @dr_ychili and I got pop access and started with IVUS. . . Keys: ✅#IVUS guided #ClotTriever can be used
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CLOT ɪɴ ᴛʀᴀɴsɪᴛ ! . . . 😱Here is a great example of a clot in transit! This is the term we use when we catch a mobile thrombus passing through the heart on echo. Here you can see the echodense and worm like features of a clot originating in the lower extremity veins and passing through the right side of the heart and likely into the lungs causing a pulmonary embolism. . . . 🌪There are many options to treat a clot like this. Mainly interventions are too late and the patient will develop a pulmo
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