{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:32:43Z","timestamp":1786559563910,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Intracardiac thrombus in the right heart has a great risk of embolizing to the pulmonary circulation leading to great morbidity and mortality. Removal of large thrombi incurs an increased risk of embolization, especially if the clot is more acute and not fully adherent. We present a case of transcatheter removal of a thrombus at the right atrial and superior vena cava (RA\u2010SVC) junction using a novel technique in a patient with transfusion\u2010dependent Fanconi anemia status, bone marrow transplant, and steroid\u2010resistant graft\u2010versus\u2010host disease using a coaxial system of a Penumbra Thrombectomy catheter with a \u014cN\u014c Retrieval Device. Systemic anticoagulation or thrombolysis may be ineffective in treating large and organized thrombi, and most surgical management techniques require cardiopulmonary bypass in these often fragile patients. The combined use of multiple intravascular techniques to stabilize and extract the thrombus can be utilized in unstable patients when the threat of pulmonary embolism is high. Critically ill and unstable patients with large, complex, and organized thrombi can benefit from the use of the presented novel, efficient, and safe approach, guarding against thrombus embolization during thrombectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70638","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T03:59:57Z","timestamp":1776916797000},"page":"174-177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evacuation of a Large Intracardiac Thrombus at Cavoatrial Junction Using a Coaxial Aspiration System Through an \u014cN\u014c Retrieval Device in a Pediatric Patient"],"prefix":"10.1002","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1044-5801","authenticated-orcid":false,"given":"Saloni K.","family":"Trivedi","sequence":"first","affiliation":[{"name":"Manning Family Children's Hospital New Orleans Louisiana USA"},{"name":"Louisiana State University Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesus C.","family":"Jaile","sequence":"additional","affiliation":[{"name":"Manning Family Children's Hospital New Orleans Louisiana USA"},{"name":"Louisiana State University Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minghua Angela","family":"Hao","sequence":"additional","affiliation":[{"name":"Manning Family Children's Hospital New Orleans Louisiana USA"},{"name":"Louisiana State University Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernesto","family":"Mejia","sequence":"additional","affiliation":[{"name":"Manning Family Children's Hospital New Orleans Louisiana USA"},{"name":"Louisiana State University Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2023.07.014"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20108703(89)90274\u20103"},{"issue":"4","key":"e_1_2_7_4_1","first-page":"1441","article-title":"Systemic Thrombolysis for Right Atrial Thrombi: A Meta\u2010Analysis","volume":"124","author":"Falagas M. E.","year":"2003","journal-title":"Chest"},{"issue":"9","key":"e_1_2_7_5_1","first-page":"940","article-title":"Management of Right Atrial Thrombi: A Case Series and Literature Review","volume":"26","author":"Myers P. 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