使用可操纵的鞘和无引线检索系统成功清除延伸至右心室的植被

IF 1.7 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Arrhythmia Pub Date : 2025-06-30 DOI:10.1002/joa3.70125

Yoshiki Aono MD, Hiro Yamasaki MD, PhD, Yuto Iioka MD, Kentaro Minami MD, Tomoko Ishizu MD, PhD

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引用次数: 0

摘要

铅相关性心内膜炎以大面积植被为特征，在经静脉铅提取过程中有栓塞的重大风险，需要手术干预，这可能是危重患者的禁忌。我们描述了一个成功的导管为基础的大量植被的减容延伸到右心室顶点使用可操纵鞘和无铅检索系统。

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Successful debulking of vegetation extending into the right ventricle using a steerable sheath and leadless retrieval system

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Successful debulking of vegetation extending into the right ventricle using a steerable sheath and leadless retrieval system

Lead-associated endocarditis, characterized by large vegetations, poses a significant risk of embolization during transvenous lead extraction, necessitating surgical intervention that may be contraindicated in critically ill patients. We describe a successful catheter-based debulking of massive vegetation extending to the right ventricular apex using a steerable sheath and leadless retrieval system.

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