Vacuum-Implemented Removal of Lead Vegetations in Cardiac Device-Related Infective Endocarditis.
AngioVac
CDRIE
lead
pacemaker
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
07 Aug 2022
07 Aug 2022
Historique:
received:
01
07
2022
revised:
03
08
2022
accepted:
05
08
2022
entrez:
12
8
2022
pubmed:
13
8
2022
medline:
13
8
2022
Statut:
epublish
Résumé
When approaching infected lead removal in cardiac device-related infective endocarditis (CDRIE), a surgical consideration for large (>20 mm) vegetations is recommended. We report our experience with the removal of large CDRIE vegetations using the AngioVac system, as an alternative to conventional surgery. We retrospectively reviewed all infected lead extractions performed with a prior debulking using the AngioVac system, between October 2016 and April 2022 at our institution. A total of 13 patients presented a mean of 2(1) infected leads after a mean of 5.7(5.7) years from implantation (seven implantable cardioverter-defibrillators, four cardiac resynchronization therapy-defibrillators, and two pacemakers). The AngioVac system was used as a venous−venous bypass in six cases (46.2%), venous−venous ECMO-like circuit (with an oxygenator) in five (38.5%), and venous−arterial ECMO-like circuit in two cases (15.4%). Successful (>70%) aspiration of the vegetations was achieved in 12 patients (92.3%) and an intraoperative complication (cardiac perforation) only occurred in 1 case (7.7%). Subsequent lead extraction was successful in all cases, either manually (38.5%) or using mechanical tools (61.5%). The AngioVac system is a promising effective and safe option for large vegetation debulking in CDRIE. Planning the extracorporeal circuit design may represent the optimal strategy to enhance the tolerability of the procedure and minimize adverse events.
Identifiants
pubmed: 35956217
pii: jcm11154600
doi: 10.3390/jcm11154600
pmc: PMC9369526
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Heart Rhythm. 2022 May;19(5):768-775
pubmed: 34968739
Ann Saudi Med. 2022 Jan-Feb;42(1):58-63
pubmed: 35112587
Pacing Clin Electrophysiol. 2019 Jul;42(7):1032-1037
pubmed: 31106437
Circulation. 1997 Apr 15;95(8):2098-107
pubmed: 9133520
Expert Rev Cardiovasc Ther. 2022 Jan;20(1):45-54
pubmed: 35081845
Ann Cardiothorac Surg. 2019 Nov;8(6):675-677
pubmed: 31832358
J Am Coll Cardiol. 2010 Mar 2;55(9):886-94
pubmed: 20185039
Ann Thorac Surg. 2020 Nov;110(5):e445-e447
pubmed: 32504600
J Am Coll Cardiol. 2011 Aug 30;58(10):1001-6
pubmed: 21867833
Europace. 2020 Jan 1;22(1):133-138
pubmed: 31638648
J Cardiovasc Electrophysiol. 2021 Jun;32(6):1778-1781
pubmed: 33825266
Biology (Basel). 2022 Apr 18;11(4):
pubmed: 35453815
J Interv Card Electrophysiol. 2019 Aug;55(2):129-135
pubmed: 31025152
J Cardiovasc Electrophysiol. 2020 Mar;31(3):718-722
pubmed: 32003095
J Vasc Interv Radiol. 2021 Apr;32(4):549-557.e3
pubmed: 33526346
Am Heart J. 2003 Aug;146(2):339-44
pubmed: 12891205
Dtsch Arztebl Int. 2018 Jun 29;115(26):445-452
pubmed: 30017027
Ann Thorac Surg. 2021 Dec;112(6):2113-2114
pubmed: 33571498
Pacing Clin Electrophysiol. 2022 Jan;45(1):92-102
pubmed: 34699079
Antibiotics (Basel). 2019 Nov 19;8(4):
pubmed: 31752363
Circ J. 2022 Jul 25;86(8):1292-1297
pubmed: 35354715
Eur Heart J. 2019 Oct 14;40(39):3222-3232
pubmed: 31504413
Eur Heart J. 2020 Jun 1;41(21):2012-2032
pubmed: 32101604
J Card Surg. 2019 Apr;34(4):170-180
pubmed: 30843269
Pacing Clin Electrophysiol. 2006 Mar;29(3):231-6
pubmed: 16606389
Echocardiography. 2019 Apr;36(4):742-751
pubmed: 30805998
J Card Surg. 2013 May;28(3):321-4
pubmed: 23445461
Heart Rhythm. 2020 Apr;17(4):646-653
pubmed: 31756529
Ann Thorac Surg. 2021 Sep;112(3):e193-e196
pubmed: 33676906
Int J Cardiol. 2017 Jan 15;227:18-24
pubmed: 27846457
HeartRhythm Case Rep. 2020 Dec 19;7(3):170-173
pubmed: 33786314
J Atr Fibrillation. 2016 Oct 31;9(3):1455
pubmed: 28496930
J Cardiovasc Electrophysiol. 2018 Oct;29(10):1460-1466
pubmed: 29964312
Catheter Cardiovasc Interv. 2017 Nov 15;90(6):1009-1015
pubmed: 28471095