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Combined Percutaneous Mechanical Aspiration and Transvenous Lead Extraction in CIED‐Related Endocarditis: A Case Report

Year: 2026

Type: article

Abstract: 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.

Source: Pacing and Clinical Electrophysiology

DOI: 10.1111/pace.70136

Authors: Augustijn Mortele, Joost Kager, Johan Ghekiere, Reshma Amin, Sander Trenson, Jean‐Benoît le Polain de Waroux

Institution: AZ Sint-Jan

Language: English

Topic: Infective Endocarditis Diagnosis and Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W7123390485