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Case Reports
. 2013 May;28(3):321-4.
doi: 10.1111/jocs.12087. Epub 2013 Feb 28.

Vacuum assisted vegetation extraction for the management of large lead vegetations

Nishant Patel  1 , Talhat Azemi, Faisal Zaeem, David Underhill, Robert Gallagher, Robert Hagberg, Immad Sadiq
Affiliations
Case Reports

Vacuum assisted vegetation extraction for the management of large lead vegetations

Nishant Patel et al. J Card Surg. 2013 May.

Abstract

Background: Complete device and lead removal is recommended for management of infected implantable cardiac device. Management of large lead vegetation (2 cm) is still in debate.

Methods: We report a series of patients involving percutaneous extraction of large vegetations (>2 cm) from ICD/pacing leads using the AngioVac Cannula in patients with infective endocarditis. This approach was used to debulk the ICD/pacing lead vegetations in order to minimize the risk of septic pulmonary embolism during lead explantation.

Conclusion: AngioVac Cannula can be used safely and effectively as an adjunctive method for patients with large lead vegetation.

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