Nguyen Q, Ma X, Vervoort D, Luc JGY. Management Strategies for Descending Thoracic Aortic Thrombus: A Review of the Literature.
INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY 2022;
17:283-296. [PMID:
35866207 PMCID:
PMC9403384 DOI:
10.1177/15569845221107011]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Descending thoracic aortic thrombus (DTAT) is an under-recognized source of
systemic emboli with potential catastrophic consequences. Imaging modalities
such as echocardiography, computed tomography, magnetic resonance imaging, and
angiography can help identify and characterize the extent of embolic events.
Established guidelines regarding the management of DTAT are currently lacking.
Multiple treatment modalities are available; however, the effectiveness of each
approach remains to be determined. In this study, we performed a review to
examine the clinical presentation, diagnostic methods and findings, and outcomes
of various treatment options for patients with DTAT. Medical management is the
least invasive and most frequently chosen initial approach, offering a high
reported success rate, whereas endovascular therapy can have a role in thrombus
exclusion should conservative management fail.
Collapse