title: Vacuum assisted vegetation extraction for the management of large lead vegetations.
abstract: BACKGROUND
  Complete device and lead removal is recommended for management of infected implantable cardiac device. Management of large lead vegetation (2 cm) is still in debate.
  
  
  METHODS
  We report a series of patients involving percutaneous extraction of large vegetations (>2 cm) from ICD/pacing leads using the AngioVac Cannula in patients with infective endocarditis. This approach was used to debulk the ICD/pacing lead vegetations in order to minimize the risk of septic pulmonary embolism during lead explantation.
  
  
  CONCLUSIONS
  AngioVac Cannula can be used safely and effectively as an adjunctive method for patients with large lead vegetation.
authors: Henry Low Heart Center, Hartford Hospital, Hartford, Connecticut 06102, USA.
authors: Nishant
authors: N
authors: Patel
authors: Talhat
authors: T
authors: Azemi
authors: Faisal
authors: F
authors: Zaeem
authors: David
authors: D
authors: Underhill
authors: Robert
authors: R
authors: Gallagher
authors: Robert
authors: R
authors: Hagberg
authors: Immad
authors: I
authors: Sadiq
mesh_terms: D000369:Aged, 80 and over; D016470:Bacteremia / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D006328:Cardiac Catheterization / Q000295:instrumentation*; D057785:Catheters; D003299:Cooperative Behavior; D017147:Defibrillators, Implantable / Q000382:microbiology; D020878:Device Removal / Q000295:instrumentation*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004567:Electrodes, Implanted / Q000382:microbiology; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006325:Heart Atria / Q000382:microbiology / Q000601:surgery*; D006352:Heart Ventricles / Q000382:microbiology / Q000601:surgery; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000382:microbiology; D010361:Patients; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D013211:Staphylococcus aureus; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D013292:Streptococcus agalactiae; D013396:Suction / Q000295:instrumentation*