ArticleInternational journal of cardiology. Heart & vasculature2023
Outcomes and survival of patients undergoing percutaneous vegetectomy for right heart endocarditis.
Article in International journal of cardiology. Heart & vasculature, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Asystole Triggered by Swallowing: Insights From a Case of Infective Endocarditis in a 35-Year-Old HIV Patient.The American journal of case reports · 2025Article
- Vacuum-Assisted Aspiration of Intracardiac Masses as a Bridge or Alternative to Surgery.JACC. Case reports · 2025Article
- Bacterial and fungal infections in persons who inject drugs.Clinical microbiology reviews · 2025Review
- Four Faces of Infective Endocarditis: Where Thinking Outside the Box Was Crucial.Journal of clinical medicine · 2025Article
- Percutaneous Retrieval of a Vegetation in a Pediatric Patient with Patent Ductus Arteriosus: A New Technique to Avoid Thoracotomy.Arquivos brasileiros de cardiologia · 2024Article
- A Retrospective Analysis of AngioVac Outcomes at a Tertiary Care Center.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Combined transcatheter vegetectomy and leadless pacemaker implantation for endocarditis and complete heart block.Future cardiology · 2024Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Backgrounds: AngioVac is used for the percutaneous removal of vegetations and for debulking of large vegetations in patients who are not surgical candidates.This study aims to identify the demographics, echocardiographic features, indications, improvement of the tricuspid valve regurgitation, and survival outcomes of patients who have undergone AngioVac vegetectomy reported in the literature. Methods: A systematic review was performed to identify articles reporting suction thromectomy or vegetation removal using the AngioVac system for RSIE (right sided infective endocarditis). Survival on discharge was our primary outcome. Additionally, we evaluated indications for suction thrombectomy and TR improvement. Categorical variables were expressed as percentages and ratios. Results: A total of 49 studies were identified. The most common risk factor was intravenous drug abuse seen in 45% (20/49) and cardiovascular implantable electronic device (CIED) in 45% (20/49). Circulatory shock was seen in 35% of patients. The causative organism was gram positive cocci (86%). Moderate to severe TR was present in 74% of cases with documented echocardiograms. Indications for AngioVac were poor surgical candidacy (81%) or to reduce septic emboli risk (19%). Survival at discharge was 93%. TR improvement was reported only in 16% cases and remained unchanged/worsened in 84%. Conclusion: AngioVac procedure is an alternative treatment for critically ill patients who cannot undergo surgery. To understand the survival, safety and candidacy of patients undergoing this procedure, further randomized control studies and literature reviews are needed. The improvement or worsening of tricuspid regurgitation in patients with TR valve involvement is another factor to be investigated.
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