Key result
AngioVac-guided removal of lead vegetations followed by percutaneous CIED removal was successfully performed in a woman in her mid-50s.
Case Report (n=1)
The AngioVac aspiration system can be successfully used as a less invasive approach for removing vegetations in pacemaker lead-related infective endocarditis prior to percutaneous CIED removal.
May support less invasive vegetation management in select CIED IE cases; hypothesis-generating and requires prospective validation.
The AngioVac aspiration system is a catheter-based technique that has been used for removal of unwanted intravascular material in growing numbers of institutions around the world since 2013. It provides an alternative and a less invasive approach for the treatment of venous thromboembolism and intrinsic or cardiac implantable electronic devices (CIED)-related infective endocarditis. This system uses venous cannulas and extracorporeal filtering mechanisms to effectively remove thrombi or vegetations resulting in less invasion and minimal blood loss. We present a case of a woman in her mid-50s who underwent successful AngioVac-guided removal of lead vegetations followed by percutaneous CIED removal.
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Mahajan et al. (2023) conducted a case report in pacemaker lead-related infective endocarditis (n=1). AngioVac aspiration system was evaluated on successful removal of lead vegetations. AngioVac-guided removal of lead vegetations followed by percutaneous CIED removal was successfully performed in a woman in her mid-50s.
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