Related Experiment Video

Updated: Jul 19, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

1.7K

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

Maria Riasat1, Balaram Krishna J Hanumanthu2, Arshan Khan3

  • 1Department of Internal Medicine, Mount Sinai Beth Israel, Manhattan, NY, United States.

International Journal of Cardiology. Heart & Vasculature
|August 14, 2023
PubMed

Insights

The AngioVac system effectively removes vegetations in critically ill patients unsuitable for surgery, achieving a 93% survival rate. However, tricuspid regurgitation improvement was limited, necessitating further investigation.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Devices

Background:

  • AngioVac system facilitates percutaneous removal and debulking of vegetations.
  • It is indicated for patients who are not surgical candidates.
  • Right-sided infective endocarditis (RSIE) is a primary concern.

Purpose of the Study:

  • To identify demographics, echocardiographic features, indications, and survival outcomes of AngioVac vegetectomy.
  • To evaluate tricuspid regurgitation (TR) improvement post-procedure.
  • To assess the efficacy of AngioVac for RSIE.

Main Methods:

  • Systematic review of studies reporting AngioVac use for RSIE.
  • Primary outcome: survival on discharge.
  • Secondary outcomes: indications for AngioVac and TR improvement.

Main Results:

  • Intravenous drug abuse and cardiovascular implantable electronic devices were common risk factors (45% each).
  • Poor surgical candidacy (81%) was the main indication for AngioVac.
  • Survival at discharge was 93%, but TR improvement was only 16%.

Conclusions:

  • AngioVac is a viable alternative for critically ill patients unable to undergo surgery.
  • Further randomized controlled studies are needed to confirm survival and safety.
  • Tricuspid regurgitation changes require additional investigation.
Abstract

Keywords:
Outcomes/SurvivalRight hear endocarditisSuction thrombectomyTricuspid valve regurgitation

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.1K
Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model05:31

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

2.9K

Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
8
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
16
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
52
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
15
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10