Why the study?
There are limited data on outcomes for patients with vegetations larger than 2 cm undergoing routine transvenous lead extraction for cardiac implantable electronic device infections.
Does vacuum-assisted aspiration improve outcomes or safety during transvenous lead extraction for patients with large vegetations?
Does vacuum-assisted aspiration improve outcomes or safety during transvenous lead extraction for patients with large vegetations?
The provided text introduces the potential use of vacuum-assisted aspiration for removing large vegetations during transvenous lead extraction, though no specific study results are reported in the excerpt.
Potential adjunct for large vegetations in lead extraction; leaves open safety and efficacy pending controlled studies.
Transvenous lead extraction (TLE) is recommended for cardiac implantable electronic device infections. While existing literature reports experience using routine TLE for vegetations <2 cm in size without a major incidence of clinically significant pulmonary embolism, there are limited data on outcomes for patients with larger vegetation.1–4 Surgical lead extractions are considered for patients who have other reasons for cardiac surgery, who have failed TLE, or who have vegetation or thrombus >2.5 cm.
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Krishnan et al. (2020) studied this question.
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