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...

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Autores principales: Mittal, Nitish, Mittal, Rohan, Ramon, Mikal C, Sly, Zhaunn, Ansari, Mohammad M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933142/
https://www.ncbi.nlm.nih.gov/pubmed/35350488
http://dx.doi.org/10.7759/cureus.22283
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author Mittal, Nitish
Mittal, Rohan
Ramon, Mikal C
Sly, Zhaunn
Ansari, Mohammad M
author_facet Mittal, Nitish
Mittal, Rohan
Ramon, Mikal C
Sly, Zhaunn
Ansari, Mohammad M
author_sort Mittal, Nitish
collection PubMed
description 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.
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spelling pubmed-89331422022-03-28 A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System Mittal, Nitish Mittal, Rohan Ramon, Mikal C Sly, Zhaunn Ansari, Mohammad M Cureus Cardiac/Thoracic/Vascular Surgery 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. Cureus 2022-02-16 /pmc/articles/PMC8933142/ /pubmed/35350488 http://dx.doi.org/10.7759/cureus.22283 Text en Copyright © 2022, Mittal et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Mittal, Nitish
Mittal, Rohan
Ramon, Mikal C
Sly, Zhaunn
Ansari, Mohammad M
A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System
title A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System
title_full A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System
title_fullStr A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System
title_full_unstemmed A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System
title_short A Novel Technique Debulking Vegetations in Tricuspid Endocarditis and Venacava Utilizing AngioVac Aspiration System
title_sort novel technique debulking vegetations in tricuspid endocarditis and venacava utilizing angiovac aspiration system
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933142/
https://www.ncbi.nlm.nih.gov/pubmed/35350488
http://dx.doi.org/10.7759/cureus.22283
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