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Case Reports
. 2022 Aug;100(2):261-265.
doi: 10.1002/ccd.30294. Epub 2022 Jun 1.

A novel technique for the percutaneous removal of tricuspid valve vegetations utilizing the Inari Flowtriever System

Matthew C Becker  1 , Siddarth Reddy  2 , Brendan Miccio  3 , Orestis Pappas  1
Affiliations
Case Reports

A novel technique for the percutaneous removal of tricuspid valve vegetations utilizing the Inari Flowtriever System

Matthew C Becker et al. Catheter Cardiovasc Interv. 2022 Aug.

Abstract

Right-sided infective endocarditis is a common entity for which surgical intervention is frequently high-risk. Considering its invasive nature, potential complications, and challenging patient population, a less invasive endovascular option is desirable. The previous series have demonstrated the feasibility of percutaneous therapy for tricuspid valve (TV) vegetation utilizing a filter-based bypass circuit. However, the limited availability of a specialized team, resources, procedural complexity, and large bore sheath size restrict the broad adoption of this technique. The Inari FlowTriever System (Inari Medical) is an endovascular, catheter-based, aspiration, and mechanical thrombectomy system indicated for the removal of large-volume venous thrombus and pulmonary emboli. Independent of anesthesia, perfusion, or advanced imaging, this device's characteristics uniquely improve the operator's ability to safely remove unwanted debris from complex anatomy. This report describes the first, utilization of the Inari FlowTriever System for the removal of massive and inoperable TV vegetation.

Keywords: Flowtriever; aspiration; endocarditis; structural.

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References

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