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0644T vs 37187

"The sheath was removed over wire and a 16 French dry seal sheath was advanced over the wire and positioned within the superior inferior vena cava.

Next, a 16 French aspiration catheter was advanced over the wire as well as a 6 French angled catheter. The aspiration catheter was positioned into the superior vena cava under fluoroscopic and TEE guidance. The inner wire and catheter were removed. Next, under fluoroscopic and TEE guidance the aspiration catheter was used to engage the thrombus and aspiration was engaged. Clot was externalized with extirpation of matter.

TEE demonstrated moderate amount of residual thrombus that did appear to be adherent to the wall. The 16 French aspiration catheter was then used to engage the remaining amount of this thrombus.

FINDINGS: Successful aspiration thrombectomy of clot in transit within the SVC/right atrium. Clot externalized with extirpation of matter.I MPRESSION: Successful aspiration embolectomy of clot in transit identified to be within the superior vena cava and right atrium after cardiac lead extraction.