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Vacuum assisted vegetation extraction for the management of large lead vegetations
Nishant Patel1, Talhat Azemi, Faisal Zaeem
1Henry Low Heart Center, Hartford Hospital, Hartford, Connecticut 06102, USA.
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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