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- W4382298283 abstract "Key Teaching Points•Owing to the significant risk of pulmonary embolism with hemodynamic compromise, large lead- associated vegetations may limit transvenous lead extraction without a prevention strategy.•This is the first description of using the FlowTriever aspiration system (Inari Medical, Irvine, CA) in the removal of large vegetations at the time of transvenous lead extraction. Advantages to this system include avoiding veno-veno bypass, minimal blood loss, and catheter sizing options for accommodating large vegetations.•Transcutaneous removal of large vegetations is feasible and may be preferred for patients with significant comorbidities. A team approach with members from multiple disciplines leads to best outcomes. •Owing to the significant risk of pulmonary embolism with hemodynamic compromise, large lead- associated vegetations may limit transvenous lead extraction without a prevention strategy.•This is the first description of using the FlowTriever aspiration system (Inari Medical, Irvine, CA) in the removal of large vegetations at the time of transvenous lead extraction. Advantages to this system include avoiding veno-veno bypass, minimal blood loss, and catheter sizing options for accommodating large vegetations.•Transcutaneous removal of large vegetations is feasible and may be preferred for patients with significant comorbidities. A team approach with members from multiple disciplines leads to best outcomes." @default.
- W4382298283 created "2023-06-28" @default.
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- W4382298283 date "2023-07-01" @default.
- W4382298283 modified "2023-09-30" @default.
- W4382298283 title "Novel use of a thrombus aspiration system to facilitate transvenous lead extraction for large vegetations" @default.
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- W4382298283 doi "https://doi.org/10.1016/j.hrcr.2023.04.020" @default.
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