Percutaneous vacuum assisted thrombectomy using AngioVac aspiration system.

•Right heart thrombi in patients with pulmonary embolism are difficult to manage.•Surgical embolectomy and thrombolytic therapy are two common approaches for the treatment of large intra-cardiac or intravascular thrombi.•One third of the patients are ineligible to receive either of these treatment options.•These patients can benefit from catheter-based percutaneous aspiration thrombectomy.