Key result
Endovascular mechanical aspiration using the 20-Fr INARI curved Flowtriever catheter successfully debulked a large native tricuspid valve vegetation in a patient with MSSA endocarditis.
Case Report (n=1)
Endovascular mechanical aspiration using the INARI Flowtriever catheter represents a potential minimally invasive alternative to surgery for treating large native tricuspid valve vegetations.
Large tricuspid vegetation may progress to bilateral septic emboli despite antibiotics; leaves open optimal timing for intervention.
(MSSA) bacteremia, acute hypoxic respiratory failure secondary to MSSA pneumonia and septic emboli. The patient underwent a transesophageal echocardiogram which revealed a large, mobile tricuspid valve vegetation secondary to endocarditis. The patient was initially managed conservatively with intravenous antibiotics and supportive measures. However, his respiratory status worsened due to persistence of a large tricuspid valve vegetation which progressed to bilateral septic pulmonary emboli with peripheral cavitary lesions identified on follow-up CT of the chest. In order to debulk the large tricuspid vegetation, the patient successfully underwent endovascular mechanical aspiration of tricuspid valve vegetation utilizing the 20-Fr INARI curved Flowtriever (INARI Medical, CA) catheter. This case highlights a new, minimally invasive technique and device employed in treating native valve vegetations caused by endocarditis as an alternative approach to surgery.
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Khalil et al. (2023) conducted a case report in Methicillin-sensitive Staphylococcus aureus (MSSA) endocarditis (n=1). Endovascular mechanical aspiration using 20-Fr INARI curved Flowtriever catheter was evaluated on Debulking of tricuspid vegetation. Endovascular mechanical aspiration using the 20-Fr INARI curved Flowtriever catheter successfully debulked a large native tricuspid valve vegetation in a patient with MSSA endocarditis.
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