A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System

The AngioVac system (AngioDynamics Inc., Latham, NY) is used for the removal of commonly encountered intravascular material, such as thrombus or vegetations in the right atrium, right ventricle, superior vena cava, and inferior vena cava. Patients with high surgical risk having tricuspid endocarditi...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-02, Vol.14 (2), p.e22283
Main Authors: Mittal, Nitish, Mittal, Rohan, Ramon, Mikal C, Sly, Zhaunn, Ansari, Mohammad M
Format: Article
Language:English
Subjects:
Antibiotics
Blood clots
Cardiac/Thoracic/Vascular Surgery
Cardiology
Cardiovascular disease
Case reports
Catheters
Diabetes
Drug use
Dyspnea
Endocarditis
Heart
Hospitals
Hypertension
Infectious diseases
Internal Medicine
Pacemakers
Patients
Staphylococcus infections
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The AngioVac system (AngioDynamics Inc., Latham, NY) is used for the removal of commonly encountered intravascular material, such as thrombus or vegetations in the right atrium, right ventricle, superior vena cava, and inferior vena cava. Patients with high surgical risk having tricuspid endocarditis and superior vena cava thrombus can be treated with the AngioVac system, hence mitigating the risks for this patient population. We present a case series with the utilization of the AngioVac device to reduce the vegetation size and decrease the risk of emboli with effective antibiotic penetration. Transesophageal echocardiography shows a reduction in the size of the vegetations in all three cases with no postoperative complications. This case series demonstrates a novel technique debulking vegetations in tricuspid endocarditis and vena cava.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.22283