Key result
A large tricuspid valve vegetation in a patient with prohibitive surgical risk was successfully treated using the Triever aspiration catheter with FLEX technology guided by intracardiac echocardiogram.
Why the study?
Many IVDA patients with infective endocarditis cannot undergo needed surgery due to medical and social complexities, and the alternative AngioVac system carries high procedural mortality.
Case Report (n=1)
The Triever aspiration catheter with FLEX technology, guided by intracardiac echocardiography, may offer a viable percutaneous treatment option for inoperable tricuspid valve vegetations.
May offer percutaneous option for high-risk tricuspid vegetations in IV drug users; hypothesis-generating and should not yet change practice.
With the ongoing intravenous drug abuse (IVDA) epidemic, the number of IVDA patients with infective endocarditis is increasing. These cases are often characterized by large vegetations complicated by valvular dysfunction, heart failure, and recurrent septic pulmonary emboli demanding surgical intervention. Latter cannot be offered in a good proportion of the patients due to challenging medical and social complexities. Hence, AngioVac system has been used as an alternative therapy; however, it is associated with high procedural mortality. In this document, we describe in detail the successful treatment of a case of large tricuspid valve vegetation, with prohibitive risk for surgery, using a percutaneous catheter-based system, the Triever aspiration catheter with FLEX technology, with the guidance of intracardiac echocardiogram.
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Hammad et al. (2021) conducted a case report in Infective endocarditis with large tricuspid valve vegetation (n=1). Triever aspiration catheter with FLEX technology guided by intracardiac echocardiogram was evaluated on Successful treatment/removal of vegetation. A large tricuspid valve vegetation in a patient with prohibitive surgical risk was successfully treated using the Triever aspiration catheter with FLEX technology guided by intracardiac echocardiogram.
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