Key result
Percutaneous debulking of a giant right ventricular lead vegetation using a snare under real-time intracardiac echocardiography was successfully performed to reduce vegetation size before lead extraction.
Why the study?
Cardiac implantable electronic device infection is a dangerous complication requiring device removal, presenting challenges when a lead carries giant vegetation material with high embolization risk.
Case Report (n=1)
No
Percutaneous snaring under real-time intracardiac echocardiography can be used to debulk giant CIED lead vegetations prior to extraction when vacuum-assisted systems are unavailable, though risk of distal embolization remains.
May support percutaneous debulking feasibility in select CIED infections with giant vegetations; hypothesis-generating and requires prospective validation before wider use.
Infection of cardiac implantable electronic devices is one of the most dangerous complications, and the main treatment approach is the removal of cardiac implantable electronic device from the body. We present a case of successful lead removal of implantable cardioverter-defibrillator infection at which right ventricular lead had giant vegetation material. We performed percutaneous debulking of giant right ventricular lead vegetation by percutaneous approach under the realtime intracardiac echocardiography visualization because of the high risk of pulmonary artery embolization of giant infectious material and poor lung and general condition of the patient.
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Tayyar Gökdeniz (2023) conducted a case report in Cardiac implantable electronic device (CIED) infection with giant right ventricular lead vegetation (n=1). Percutaneous debulking using a snare under intracardiac echocardiography (ICE) visualization followed by lead extraction was evaluated on Successful debulking of vegetation and lead removal. Percutaneous debulking of a giant right ventricular lead vegetation using a snare under real-time intracardiac echocardiography was successfully performed to reduce vegetation size before lead extraction.
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