Endovascular Tricuspid Vegetectomy in Patients with Endocarditis using Transesophageal or Intracardiac Echocardiography Guided Large Bore Mechanical Aspiration: An Institutional Experience
Document Type
Conference Proceeding - Restricted Access
Publication Date
5-9-2025
Abstract
Infective endocarditis (IE) is a life-threatening condition with a mortality rate of 40%. Right-sided infective endocarditis (RSIE) makes up 5%-10% of IE cases, with risk factors such as intravenous drug use, indwelling catheters, and implantable cardiac devices. RSIE typically presents with tricuspid valve and/or intracardiac lead vegetations, leading to complications like heart failure, sepsis, and distal emboli. First-line treatment is long-term antibiotics, with surgery recommended for refractory cases, severe valvular dysfunction, or large vegetations. In high-surgical-risk patients, percutaneous vacuum-assisted aspiration offers a safe and effective option. Recent reports also highlight mechanical aspiration of TV vegetations, offering benefits like fewer cannulation sites and minimized blood loss.
Recommended Citation
Behairy S, Vandeveer Z. Endovascular tricuspid vegetectomy in patients with endocarditis using transesophageal or intracardiac echocardiography guided large bore mechanical aspiration: an institutional experience. Presented at: Research Day Corewell Health West; 2025 May 9; Grand Rapids, MI.
Comments
2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1802