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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
AngioVac system guided removal of vegetations from pacemaker lead-related infective endocarditis
  1. Pranav Mahajan1,2,
  2. Surya Kiran Aedma1,3,
  3. Saeed Ally4 and
  4. Anuj Garg5
  1. 1Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA
  2. 2Cardiology, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
  3. 3Cardiology, University of California, Riverside, Riverside, California, USA
  4. 4Cardiovascular & Thoracic Surgery, Heart & Vascular, Carle Foundation Hospital, Urbana, Illinois, USA
  5. 5Electrophysiology, Cardiology, Heart & Vascular, Carle Foundation Hospital, Urbana, Illinois, USA
  1. Correspondence to Dr Pranav Mahajan; pranav71293{at}gmail.com

Abstract

The AngioVac aspiration system is a catheter-based technique that has been used for removal of unwanted intravascular material in growing numbers of institutions around the world since 2013. It provides an alternative and a less invasive approach for the treatment of venous thromboembolism and intrinsic or cardiac implantable electronic devices (CIED)-related infective endocarditis. This system uses venous cannulas and extracorporeal filtering mechanisms to effectively remove thrombi or vegetations resulting in less invasion and minimal blood loss. We present a case of a woman in her mid-50s who underwent successful AngioVac-guided removal of lead vegetations followed by percutaneous CIED removal.

  • Valvar diseases
  • Cardiothoracic surgery
  • Ultrasonography
  • Infections
  • Cardiovascular medicine

http://dx.doi.org/10.1136/bcr-2022-251097

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    Footnotes

    • Contributors AG and SA were involved in managing the patient during the hospitalisation. PM was mainly involved in acquiring data, analysis and interpretation of data, drafting the case report and revising it critically for important intellectual content. PM was helped by SKA to do all the aforementioned tasks. Final approval of this version was provided by AG. PM and AG took responsibility for overall content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.