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Vol 19 (2024): Continuous Publishing
Case report
Published online: 2024-06-07

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Minimally invasive treatment of cardiac device-related infective endocarditis using AngioVac system followed by transvenous leads extraction

Przemysław Lipski1, Jerzy Sacha12, Grzegorz Hordyński1, Tomasz Pawlik1, Jarosław Bugajski1, Wojciech Milejski1, Robert Kiwus3, Paweł Tomaszewski4, Marek Cisowski4, Marek Gierlotka1
DOI: 10.5603/fc.98758

Abstract

A 67-year old patient with past medical history of ischemic heart failure, after implantation of cardiac resynchronization therapy defibrillator (CRT-D) with cardiac device-related infective endocarditis and large vegetations on the leads is reported. Due to high surgical risk vegetations were removed with the AngioVac system (AngioDynamics, Latham, NY, USA) and then leads extraction was performed during one procedure. The patient tolerated the procedure well and no complications were observed. During 30-day and 6-month follow-up we did not notice any clinical or ultrasound findings of endocarditis.

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References

  1. Blomström-Lundqvist C, Traykov V, Erba PA, et al. ESC Scientific Document Group. European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Europace. 2020; 22(4): 515–549.
  2. Sacha J, Lipski P, Bugajski J, et al. Percutaneous treatment of right heart endocarditis. Kardiol Pol. 2023; 81(10): 1028–1029.