Fluoroscopy-Assisted ICE-Guided Tricuspid Valve Vegetation Removal in CIED-Related Infective Endocarditis.

ABSTRACT:

Background

Cardiac implantable electronic device-related infective endocarditis (CIED-IE) presents diagnostic and therapeutic challenges owing to variable clinical presentations and imaging limitations. Guidelines differ on managing large vegetations, highlighting the need for individualized clinical decision-making.

Case summary

A 69-year-old man with previous cardiac resynchronization therapy with defibrillator implantation presented with fever, candidemia, and a 4-cm mobile vegetation attached to the tricuspid lead. After multidisciplinary evaluation, he underwent fluoroscopy-assisted, intracardiac echocardiography-guided aspiration to debulk the vegetation, then had successful device and lead extraction.

Discussion

This case highlights the value of advanced endova

SUBMITTER: Alhmouz MM 

PROVIDER: S-EPMC12789784 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature