AngioVac
From Bay Area Structural Heart Wiki
AngioVac is a deep vein thrombosis removal system. Similar to ECMO, an external circuit is created to circulate blood through a filter. Clot is caught in the filter, and blood is returned to the body.
Access for the AngioVac cannula will generally be Right IJ or Right Femoral Vein. The return cannula will be the opposite leg vein generally.
| AngioVac | ||
|---|---|---|
| Anesthesia | Imaging | Access |
| General | Fluoro and TEE |
|
| Pre-Procedure Watchouts | ||
Supplies
- Amplatz Super Stiff 180 (7cm tip)
- (2) Micropuncture for woggle
- (2) Perclose on standby
- Probe Cover
- 8F Sheath for pre-close on standby
- 20fr. Dilator
- 035 J-wire
- (2) 0-Ethibon to secure cannula's
- (2) Stopcocks for woggle
- (2) 0 Prolene for woggle
- 26fr. DrySeal
- ECMO instruments
- Bulb syringe
- 20F Arterial cannula Non-vented
- AngioVac Cannula
- Angiovac Circuit
- Rotaglide (2-3 ml) to prep Angiovac catheter
Procedure
- Access dependent on physician
- Amp SS wire and possible pre-close (Ask)
- Dilate
- Left groin usually return (Aortic) cannula
- Connect aortic cannula to short quick-connect adaptor, then to return portion of circuit
- Right groin Dryseal
- J-wire advanced, then advance AngioVac catheter.
- Ensure good seal with Tuohy-borst adapter when entering Dry-seal
Notes
- Quick-connect adaptors on circuit can be attached to “flash” circuit to avoid clots in circuit while procedure paused
- Air on AngioVac side of circuit not a problem while getting started
