Reber et al.2626 Reber PU, Patel AG, Stauffer E, Müller MF, Do DD, Kniemeyer HW. Mural aortic thrombi: an important cause of peripheral embolization. J Vasc Surg. 1999;30(6):1084-9. http://dx.doi.org/10.1016/S0741-5214(99)70047-9. PMid:10587393. http://dx.doi.org/10.1016/S0741-5214(99)...
|
1999 |
Prospective study (8 patients - 4 abdominal aortic thrombus) - Level 4 |
Not reported |
Transabdominal endarterectomy |
4-24 months (median: 13 months) |
Uneventful; no recurrence |
Dougherty et al.2727 Dougherty MJ, Calligaro KD, Rua I, Delaurentis DA. Idiopathic pedunculated mural thrombus of the nonaneurysmal infrarenal aorta presenting with popliteal embolization: two cases treated with thrombolytic therapy. J Vasc Surg. 2000;32(2):383-7. http://dx.doi.org/10.1067/mva.2000.106947. PMid:10917999. http://dx.doi.org/10.1067/mva.2000.10694...
|
2000 |
Case reports (2 patients) - Level 4 |
Infrarenal |
Catheter-directed thrombolysis (urokynase therapy). 1 patient: further anticoagulation. |
54 and 36 months. |
Uneventful; no recurrence. |
Bosma et al.2828 Bosma J, Rijbroek A, Rauwerda JA. A rare case of thromboembolism in a 21-year old female with elevated factor VIII. Eur J Vasc Endovasc Surg. 2007;34(5):592-4. http://dx.doi.org/10.1016/j.ejvs.2007.05.019. PMid:17669671. http://dx.doi.org/10.1016/j.ejvs.2007.05...
|
2007 |
Case report - Level 4 |
Infrarenal aorta |
Aortotomy and selective thromboembolectomy of all crural vessels. |
Not reported |
Not reported |
Zhang et al.2929 Zhang WW, Abou-Zamzam AM, Hashisho M, Killeen JD, Bianchi C, Teruya TH. Staged endovascular stent grafts for concurrent mobile/ulcerated thrombi of thoracic and abdominal aorta causing recurrent spontaneous distal embolization. J Vasc Surg. 2008;47(1):193-6. http://dx.doi.org/10.1016/j.jvs.2007.07.050. PMid:18178473. http://dx.doi.org/10.1016/j.jvs.2007.07....
|
2008 |
Case report - Level 4 |
Infrarenal aorta |
Endovascular stent grafts. |
9 months |
Uneventful; no recurrence |
Luckeroth et al.3030 Luckeroth P, Steppacher R, Rohrer MJ, Eslami MH. Endovascular therapy for symptomatic mobile thrombus of infrarenal abdominal aorta. Vasc Endovascular Surg. 2009;43(5):518-23. http://dx.doi.org/10.1177/1538574409334823. PMid:19628513. http://dx.doi.org/10.1177/15385744093348...
|
2009 |
Case reports (2 patients) - Level 4 |
Infrarenal aorta |
Endovascular placement of covered stents. |
36 months |
Uneventful; no recurrence |
Kim et al.3131 Kim WC, Hong KC, Kim JY, Cho SG, Jeon YS. Successful hybrid operation of an acute mobile thrombus in the abdominal aorta induced by chemotherapy. J Korean Surg Soc. 2011;81(Suppl 1):S78-81. http://dx.doi.org/10.4174/jkss.2011.81.Suppl1.S78. PMid:22319746. http://dx.doi.org/10.4174/jkss.2011.81.S...
|
2011 |
Case report - Level 4 |
Pararenal aorta |
Hybrid surgery using wire-directed balloon catheter thrombectomy. |
5 months |
Uneventful; no recurrence |
Fayad et al.99 Fayad ZY, Semaan E, Fahoum B, Briggs M, Tortolani A, D’Ayala M. Aortic mural thrombus in the normal or minimally atherosclerotic aorta. Ann Vasc Surg. 2013;27(3):282-90. http://dx.doi.org/10.1016/j.avsg.2012.03.011. PMid:22929167. http://dx.doi.org/10.1016/j.avsg.2012.03...
|
2013 |
Meta-analysis (200 patients - 28 abdominal aorta) - Level 3a |
Not reported |
88 patients: surgical treatment (endovascular treatment excluded) |
Not reported |
Not reported |
Verma et al.1414 Verma H, Meda N, Vora S, George RK, Tripathi RK. Contemporary management of symptomatic primary aortic mural thrombus. J Vasc Surg. 2014;60(6):1524-34. http://dx.doi.org/10.1016/j.jvs.2014.08.057. PMid:25256613. http://dx.doi.org/10.1016/j.jvs.2014.08....
|
2014 |
Retrospective study (19 patients - 9 abdominal aorta) - Level 4 |
1 visceral aorta, 2 infrarenal aorta |
Visceral aorta: trapdoor aortic thrombectomy. Infrarenal aorta: 1 aortobiiliac embolectomy and 1 aortobiiliac embolectomy and subsequent endovascular stenting. |
> 6 months |
Trapdoor thrombectomy: 1- Minimal residual sessile thrombus on CT. No recurrence Complete recovery from paraplegia and renal failure. Infrarenal aorta: Uneventful; no recurrence. |
Kadoya et al.3232 Kadoya Y, Zen K, Oda Y, Matoba S. Successful endovascular treatment for aortic thrombosis due to primary antiphospholipid syndrome: a case report and literature review. Vasc Endovascular Surg. 2019;53(1):51-7. http://dx.doi.org/10.1177/1538574418791355. PMid:30092725. http://dx.doi.org/10.1177/15385744187913...
|
2018 |
Case report - Level 4 |
Infrarenal aorta |
Endovascular stent grafts. |
12 months |
Uneventful; no recurrence. |
Murter et al.3333 Murter CD, Sigdel A, Dwivedi AJ, Wayne EJ. Percutaneous thrombectomy of mural aortic thrombus using intravascular ultrasound guidance. J Vasc Surg Cases Innov Tech. 2019;5(4):472-6. http://dx.doi.org/10.1016/j.jvscit.2019.06.013. PMid:31763501. http://dx.doi.org/10.1016/j.jvscit.2019....
|
2019 |
Case reports (3 cases) - Level 4 |
1- Visceral aorta. 2- Infrarenal aorta. 3- Visceral and infrarenal aorta. |
Percutaneous thrombectomy. |
1 month |
Uneventful; no recurrence . |
Borghese et al.3434 Borghese O, Pisani A, Di Centa I. Symptomatic aortic mural thrombus treatment and outcomes. Ann Vasc Surg. 2020;69:373-81. http://dx.doi.org/10.1016/j.avsg.2020.06.007. PMid:32554193. http://dx.doi.org/10.1016/j.avsg.2020.06...
|
2020 |
Retrospective study (9 patients - 5 abdominal aorta - 3 pedunculated) - Level 4 |
2 visceral aorta. 1 infrarenal aorta. |
1: open balloon thrombectomy followed by surgical aortic bypass. 2: aortic bypass. |
22 months |
No deaths. |