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Novel Percutaneous Management of Giant Vegetations With Pulmonary Emboli.

Large vegetations in cardiac implantable electronic devices (CIEDs) are associated with high mortality due to risks of major pulmonary artery obstruction. The rising incidence of CIEDs infections has complicated management,… Click to show full abstract

Large vegetations in cardiac implantable electronic devices (CIEDs) are associated with high mortality due to risks of major pulmonary artery obstruction. The rising incidence of CIEDs infections has complicated management, particularly in patients with delayed diagnoses. Current guidelines recommend open‐heart surgery for vegetations > 2.5 cm, but this approach poses significant risks for high‐morbidity patients. This study evaluates the feasibility and outcomes of percutaneous vacuum‐assisted aspiration using the AngioVac system in managing giant vegetations (≥ 4.0 cm) in patients unsuitable for open surgery.

Keywords: management giant; novel percutaneous; percutaneous management; giant vegetations; vegetations pulmonary; management

Journal Title: Journal of cardiovascular electrophysiology
Year Published: 2025

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