Combined Percutaneous Mechanical Aspiration and Transvenous Lead Extraction in CIED‐Related Endocarditis: A Case Report

Pacing and Clinical Electrophysiology 2026 Open access

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Authors: Augustijn Mortelé, Joost Kager, Johan Ghekiere, Reshma Amin, Sander Trenson, Jean‐Benoît le Polain de Waroux
DOI: 10.1111/pace.70136
Cited by: 0
References: 6

Abstract

INTRODUCTION: Current guidelines recommend complete removal of a cardiac implantable electronic device (CIED) in infective endocarditis (IE), with surgical extraction indicated for large vegetations (> 20-25 mm). CASE: We report a 68-year-old patient with CIED-related IE and a 3 × 3.5 cm lead vegetation successfully treated by percutaneous mechanical aspiration (PMA) using the FlowTriever system, followed by transvenous lead extraction (TLE). The combined approach achieved complete removal without complications or recurrence. CONCLUSION: This case highlights PMA as a feasible, less invasive alternative to surgery in selected high-risk patients, enabling safe TLE by reducing vegetation size and embolic risk.

Fields of Study & Subjects

Infective Endocarditis Diagnosis and Management Cardiac pacing and defibrillation studies Cardiac Arrhythmias and Treatments

Publication details

Journal / source
Pacing and Clinical Electrophysiology
Volume
49
Issue
5
Pages
602–605
Publication date
13 January 2026
Language
EN