AngioVac suction embolectomy is recommended by the manufacturer to be
performed with a centrifugal pump due to safety considerations. However,
roller head pumps are significantly cheaper to use, and thus may be more
readily available during shortages and in resource poor settings. We
present the technique of Angiovac suction embolectomy being successfully
performed with a roller pump to evacuate a clot-in-transit in the
inferior vena cava and right atrium, along with discussion of important
safety caveats.