Academic Journal
Combined Percutaneous Mechanical Aspiration and Transvenous Lead Extraction in CIED-Related Endocarditis: A Case Report.
| Τίτλος: | Combined Percutaneous Mechanical Aspiration and Transvenous Lead Extraction in CIED-Related Endocarditis: A Case Report. |
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| Συγγραφείς: | Mortele A; Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium., Kager J; Radiology Department, AZ Sint-Jan Hospital, Bruges, Belgium., Ghekiere J; Radiology Department, AZ Sint-Jan Hospital, Bruges, Belgium., Amin R; Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium., Trenson S; Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium., Waroux JLP; Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium. |
| Πηγή: | Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2026 May; Vol. 49 (5), pp. 602-605. Date of Electronic Publication: 2026 Jan 13. |
| Τύπος έκδοσης: | Case Reports; Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Futura Pub. Co Country of Publication: United States NLM ID: 7803944 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8159 (Electronic) Linking ISSN: 01478389 NLM ISO Abbreviation: Pacing Clin Electrophysiol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Mount Kisco, N. Y. : Futura Pub. Co., c1978- |
| Ιατρικοί όροι (MeSH): | Device Lead Extraction*/methods , Prosthesis-Related Infections*/surgery , Prosthesis-Related Infections*/therapy , Defibrillators, Implantable*/adverse effects , Pacemaker, Artificial*/adverse effects , Endocarditis*/surgery , Endocarditis*/etiology , Device Removal*/methods , Endocarditis, Bacterial*, Suction/methods ; Humans ; Aged ; Male |
| Περίληψη: | Introduction: Current guidelines recommend complete removal of a cardiac implantable electronic device (CIED) in infective endocarditis (IE), with surgical extraction indicated for large vegetations (> 20-25 mm). Case: We report a 68-year-old patient with CIED-related IE and a 3 × 3.5 cm lead vegetation successfully treated by percutaneous mechanical aspiration (PMA) using the FlowTriever system, followed by transvenous lead extraction (TLE). The combined approach achieved complete removal without complications or recurrence. Conclusion: This case highlights PMA as a feasible, less invasive alternative to surgery in selected high-risk patients, enabling safe TLE by reducing vegetation size and embolic risk. (© 2026 Wiley Periodicals LLC.) |
| References: | V. Delgado, N. Ajmone Marsan, and S. de Waha, “2023 ESC Guidelines for the Management of Endocarditis,” European Heart Journal 44, no. 39 (2023): 3948–4042, https://doi.org/10.1093/eurheartj/ehad193. F. M. Kusumoto, M. H. Schoenfeld, B. L. Wilkoff, et al., “2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction,” Heart Rhythm 14, no. 12 (2017): e503–e51, https://doi.org/10.1016/j.hrthm.2017.09.001. L. M. Baddour, M. B. Weimer, A. G. Wurcel, et al., “Management of Infective Endocarditis in People Who Inject Drugs: A Scientific Statement From the American Heart Association,” Circulation 146 (2022): e187–e201, https://doi.org/10.1161/CIR.0000000000001090. G. S. Gill, T. Chakrala, A. Kanmanthareddy, and V. M. Alla, “Transcatheter Vacuum Aspiration of Valvular and Lead Related Infective Endocarditis,” Cardiovascular Revascularization Medicine: Including Molecular Interventions 57 (2023): 8–15, https://doi.org/10.1016/j.carrev.2023.06.006. C. T. Starck, R. H. M. Schaerf, A. Breitenstein, et al., “Transcatheter Aspiration of Large Pacemaker and Implantable Cardioverter‐Defibrillator Lead Vegetations Facilitating Safe Transvenous Lead Extraction,” Europace 22, no. 1 (2020): 133–138, https://doi.org/10.1093/europace/euz283. A. El Sabbagh, E. Yucel, and D. Zlotnick, “Percutaneous Mechanical Aspiration in Infective Endocarditis: Applications, Technical Considerations, and Future Directions,” Journal of the Society for Cardiovascular Angiography & Interventions 3, no. 4 (2024): 101269, https://doi.org/10.1016/j.jscai.2023.101269. |
| Contributed Indexing: | Keywords: aspiration; cardiac implantable electronic devices; endocarditis; lead extraction; vegetation |
| Entry Date(s): | Date Created: 20260114 Date Completed: 20260626 Latest Revision: 20260626 |
| Update Code: | 20260626 |
| DOI: | 10.1111/pace.70136 |
| PMID: | 41531119 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1540-8159 |
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| DOI: | 10.1111/pace.70136 |