A novel approach in the management of right-sided endocarditis: percutaneous vegectomy using the AngioVac cannula

Author:

Thiagaraj Ashwin K1,Malviya Meenal2,Htun Wah W3,Telila Tesfaye1,Lerner Stephen A2,Elder Mahir D3,Schreiber Theodore L3

Affiliation:

1. Department of Cardiology, Harper University Hospital, 3990 John R Rd, 4 Hudson, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USA

2. Department of Infectious Diseases, Harper University Hospital, 3990 John R Rd, 5 Hudson, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USA

3. Department of Interventional Cardiology, Detroit Medical Center, Wayne State University, 311 Mack Ave, Detroit, MI 48201, USA

Abstract

The AngioVac is a vacuum-based device introduced in 2012 to percutaneously remove undesirable material from the intravascular system. In scattered reports, the AngioVac has been used for removal of device-led vegetations and right-sided thrombi. In this article, we describe three cases of right-sided endocarditis treated with AngioVac: a mobile mass extending from the vena cava into the right atrium, large native tricuspid vegetations, and bioprosthetic tricuspid vegetations. This device shows benefit in reducing vegetation load, decreasing septic lung embolization, and reducing reinfection in active intravenous drug users. These cases exhibit the AngioVac's arrival as a new and exciting tool in endocarditis treatment, providing an alternative to open surgery and accessorizing antimicrobial treatment.

Publisher

Future Medicine Ltd

Subject

Cardiology and Cardiovascular Medicine,Molecular Medicine

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