Evidence map›Paper›PMID 42776643›Full record

ArticleInfectious disease reports2026

Tricuspid Valve Infective Endocarditis in People Who Inject Drugs: A Single-Center Retrospective Observational Study of Percutaneous Mechanical Aspiration and a Surgical Approach.

Lauren Bernard, Juliana S Sherchan, Nazary Nebeluk, David Zapata, Murtaza Dawood, Douglas Anderson, Ramon A Riojas, Shivakumar Narayanan

Abstract read
In one paragraph

Article in Infectious disease reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lauren BernardDepartment of Internal Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0000-0001-5747-3747
Juliana S SherchanDepartment of Internal Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Nazary NebelukDivision of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0000-0003-3426-7005
David ZapataDivision of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Murtaza DawoodLuminis Health Anne Arundel Medical Center, Annapolis, MD 21401, USA.
Douglas AndersonDivision of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Ramon A RiojasDivision of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0000-0002-5486-6243
Shivakumar NarayananDivision of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0000-0003-3440-0259

Funding

Maryland Infection, Immunization, Intervention, and Impact (M4I) Training ProgramR25AI175017 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI Andrea Berry, David J Riedel · 2024 to 2026
$1.1M
NIAID NIH HHS R25 AI175017NIH HHS 1R25AI175017-01
6 · The paper itself

Abstract

backgroundPeople who inject drugs (PWID) comprise the majority of patients with native tricuspid valve (TV) infective endocarditis (IE). Many patients require surgical repair or replacement of their TV, but some may be deemed ineligible for surgical management due to high operative risk or patient preference. Vacuum-assisted percutaneous mechanical aspiration (PMA) has emerged as a potential alternative to surgical management in this population. The objective of this study was to describe real-world patient characteristics and clinical outcomes in PWID who underwent PMA or surgical management of TV IE.

methodsWe retrospectively reviewed PWID hospitalized with endocarditis at a single tertiary care center (2016-2025) who underwent an isolated PMA or surgical TV repair/replacement (TVR). Baseline demographic, clinical, microbiologic, and echocardiographic characteristics were described. Clinical outcomes were compared descriptively between groups, recognizing imbalances in treatment selection.

resultsA total of 40 PWID met inclusion criteria; 17 underwent PMA and 23 underwent surgical TVR. There was substantial baseline clinical heterogeneity between the two groups. Procedural success was numerically higher with surgery than with PMA (95.7% vs. 88.2%). Clinical success, a composite of procedural success, treatment completion, and lack of need for reintervention, was numerically higher in the TVR group (73.9% vs. 52.9%). One-year mortality was similar between groups.

conclusionsIn this single-center retrospective observational cohort of PWID with isolated TV IE, there was no statistical difference in composite clinical or procedural success between patients who underwent PMA or TVR. PMA may be a feasible source-control strategy for select patients not eligible for immediate surgery; however, larger prospective studies are needed to define optimal patient selection factors and comparative effectiveness.

Indexed as

infective endocarditisinjection drug useopioid use disorderpercutaneous mechanical aspirationsubstance use

Identifiers

PMID42776643
PMCPMC13600112

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.