Use of vacuum-assisted aspiration for removal of vegetations during transvenous lead extraction

Outcomes and survival of patients undergoing percutaneous vegetectomy for right heart endocarditis

“…marcescens and MSSA Yoruk et al, 2020 [21] 50/M IVDU, ICD MSSA endocarditis MSSA Souka et al, 2021 [22] 27/M IVDU, RE, TV replacement with bioprosthetic valve septic shock N/A Hamilton et al, 2021 [23] 35/F IVDU, RE Fever MRSA Kashyap et al 2021 [24] 39/F IVDU Nausea, Fever N/A ELJack et al, 2021 [25] 24/F IVDU, RE Hypotension S. aureus. E chang et al [26] 22/M N/A N/A MSSA 38/M N/A N/A MSSA 34/F N/A N/A MRSA Moriarty et al 2014 [27] 62/M ICD generalized fatigue and weakness E Faecalis Malviya et al 2016 [28] 35/M N/A septic shock MSSA 28/F IVDU septic shock MRSA 58/F IVDU, Bioprosthetic TV N/A E Faecalis Ayzenbart et al 2021 [29] 27/F IVDU Lower extremity edema, palpable purpura, dyspnea, fever MRSA Krishnan et al 2021 [30] 66/M PPM Severe lumbar back pain MSSA Hosoba et al 2015 [31] 67/M History of spinal osteomyelitis Infected breast implant, gluteal cellulitis …”

“…Healthy newborn. stable on d/c Krishnan et al 2021 [30] 0.26 × 3.6 cm on TV, pacemaker lead and PFO masses HD instability Successful removal of vegetation Continuous HD instability and patient expired Hosoba et al 2015 [31] 1.5 × 1.5 cm RA mass N/A Successful removal of vegetation Stable on d/c and on f/u 2.2 × 0.6-cm vegetation N/A Successful removal of vegetation Stable d/c and on f/u SVC and RA junction 3.4 × 1.3-cm masses N/A Successful removal of vegetation Stable on d/c with no recurrence kumar et al 2017 [32] 2 × 2 cm mass on CRT-D lead Poor surgical candidate Successful removal of vegetation Stable on d/c Gjeka et al, 2019 [33] 5.5 cm TV mass Poor surgical candidate 75–80% reduction in TV vegetation No fatality reported George et al 2019 [34] 0.9 cm × 0.7 cm septal and 0.7 cm × 1 cm anterior TV mass HD instability, MOF and RE Significant reduction of vegetation burden Stable on d/c. F/u TTE normal Green et al 2020 [35] Large 5 cm × 2 cm, mobile TV vegetation with ICD lead N/A CTA revealed PE.…”

Vacuum-Implemented Removal of Lead Vegetations in Cardiac Device-Related Infective Endocarditis

“…Moreover, CDRIE could be associated with septic status, a condition in which a venous–venous bypass could be poorly tolerated [ 13 ]. The Indigo Thrombectomy system (Penumbra Inc, Alameda, CA, USA) is an alternative percutaneous cannula that has been adopted to suction lead vegetations in hemodynamically unstable patients because it does not require an extracorporeal venous–venous bypass [ 34 ]. However, the inability to return blood to the patient generates considerable blood loss during the procedure [ 34 ].…”

Treatment of cardiac device‐related infective endocarditis utilizing the new T20 curve catheter and flow saver with the Inari mechanical aspiration system

“…Emerging innovations have led to the development of tools and techniques to perform mechanical aspiration of right‐sided endocarditis vegetations. These procedures can be performed with high success rates and relatively low morbidity and mortality 2,3 . We present a case of pacemaker lead endocarditis treated with the Inari mechanical aspiration system utilizing the new T20 curved catheter (Inari Medical Irvine, CA).…”

“…These procedures can be performed with high success rates and relatively low morbidity and mortality. 2,3 We present a case of pacemaker lead endocarditis treated with the Inari mechanical aspiration system utilizing the new T20 curved catheter (Inari Medical Irvine, CA).…”