Modified Cardiopulmonary Bypass Circuit for the Use of the Angiovac® System in a Case with High Paradoxical Embolization Risk

The AngioVac^® is a vacuum-assisted percutaneous thrombectomy suction system. In critically ill patients, the sudden volume shift can result in abrupt hemodynamic changes thus leading to a cardiac right-left shunt with a high risk of paradoxical embolization. We describe a modified cardiopulmonary bypass circuit for the use of the AngioVac^® system that enables full cardiopulmonary support and reduces paradoxical thromboembolic risk.