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.
| Short Procedure Name | ||
|---|---|---|
| Anesthesia | Imaging | Access |
| General | Fluoro and TEE |
|
| Pre-Procedure Watchouts | ||
| * Tidal volume during time-out! | ||
Supplies
- Amplatz Super Stiff 180 (7cm tip)
- Micropuncture
- (2) Perclose
- Probe Cover
- Indeflator
- (2) 0-Ethibon
- (2) Stopcock
- 1 PDSII suture on a TP1 needle
- 26fr. DrySeal
- ECMO instruments
- Arterial cannula Non-vented (Ask for size)(Usually 20fr.)
- 20fr. Dilator
- AngioVac Cannula
- Angiovac Circuit
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
- Working wire placed, 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
