Why the study?
Does percutaneous snare vegetectomy allow successful removal of vegetation in a patient with right-sided endocarditis?
Does percutaneous snare vegetectomy allow successful removal of vegetation in a patient with right-sided endocarditis?
Percutaneous snare vegetectomy is a feasible alternative to open heart surgery for removing large vegetations in selected patients with right-sided endocarditis.
Supports feasibility in selected right-sided endocarditis; hypothesis-generating and requires prospective validation before practice change.
INTRODUCTION: A middle-aged male developed right-sided endocarditis from an infection of an implantable cardiac defibrillator (ICD) system. Following percutaneous device and lead explantation, a very large pedunculated vegetation (19 mm × 14 mm) was found on the Eustachian valve. We decided to remove the vegetation percutaneously using a wire snare instead of open heart surgery. CASE REPORT: Real-time three-dimensional transesophageal echocardiography and fluoroscopy were used to guide the procedure. Access was from the right femoral vein. Using a triple-loop wire snare through a deflectable sheath, the vegetation was successfully removed in its entirety without complications. CONCLUSION: Percutaneous snare vegetectomy is feasible and may be a viable option in place of open heart surgery in selected patients.
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Seow et al. (2013) studied this question.
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