CIED関連心内膜炎における経皮的機械吸引および静脈内リード抜去の併用:症例報告
Augustijn Mortele1, Joost Kager2, Johan Ghekiere2
1Department of Cardiology, AZ Sint-Jan Hospital, Bruges, Belgium.
Introduction:
Current guidelines recommend complete removal of a cardiac implantable electronic device (CIED) in infective endocarditis (IE), with surgical extraction indicated for large vegetations (> 20-25 mm).
Case:
We report a 68-year-old patient with CIED-related IE and a 3 × 3.5 cm lead vegetation successfully treated by percutaneous mechanical aspiration (PMA) using the FlowTriever system, followed by transvenous lead extraction (TLE). The combined approach achieved complete removal without complications or recurrence.
Conclusion:
This case highlights PMA as a feasible, less invasive alternative to surgery in selected high-risk patients, enabling safe TLE by reducing vegetation size and embolic risk.
関連する概念動画
Endocarditis III: Medical Management
Endocarditis I: Introduction
Endocarditis IV: Nursing Management
Endocarditis II: Clinical Features of Infective Endocarditis
Venous Thrombosis III: Interprofessional Care
Cardiac Catheterization III: Left Heart Catheterization


