Why the study?
Infective endocarditis is an atypical complication of pediatric cardiac catheterization procedures including electrophysiology study and ablation.
Case Report (n=1)
Infective endocarditis is a rare but severe complication of pediatric catheter ablation, highlighting the need for careful consideration of Foley catheter use and potential antimicrobial prophylaxis in patients with neurogenic bladder.
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Alerts clinicians to post-ablation endocarditis risk via UTI in adolescents with neurogenic bladder; leaves open targeted prophylaxis trials.
BACKGROUND: Infective endocarditis is an atypical complication of pediatric cardiac catheterization procedures including electrophysiology study and ablation. CASE PRESENTATION: A 15-year-old male with neurogenic bladder who had undergone catheter ablation to treat ventricular tachycardia was subsequently diagnosed with endocarditis, likely stemming from post-procedure Enterococcus faecalis urinary tract infection and requiring extensive cardiac surgery. CONCLUSION: Though infectious endocarditis is a rare complication of invasive cardiac procedures, especially in pediatric patients, there have been several cases where patients have been diagnosed with IE stemming from urinary tract infection. Therefore, specific attention to risk of post-procedure urinary tract infection including systemic involvement should be considered for selected patients in whom urinary catheter placement is anticipated.
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Khandekar et al. (2026) conducted a case report in Infective endocarditis (n=1). Catheter ablation procedure with Foley catheter placement was evaluated on Development of infective endocarditis.
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