Managing Tricuspid Valve Infective Endocarditis in Intravenous Drug Users: Is It Time to Endorse the Conservative Approach?

Ruhr, Ryan; Alnabelsi, Talal; Sinner, Gregory; Leung, Steve W.

doi:10.1016/s0735-1097(21)03054-0

Cited by 3 publications

(2 citation statements)

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“…Excluding duplicates, 41 case reports and 37 irrelevant studies, 11 studies were included in this targeted literature review. [16][17][18][19][20][21][22][23][24][25][26] Among these, 2 were abstracts and 9 were manuscripts.…”

Section: Resultsmentioning

confidence: 99%

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Minimally invasive procedures for right side infective endocarditis: A targeted literature review

Wang,

Itagaki,

Egorova

2024

Cathet Cardio Intervent

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IntroductionRight‐side infective endocarditis (RSIE) is caused by microorganisms and develops into intracardiac and extracardiac complications with high in‐hospital and 1‐year mortality. Treatments involve antibiotic and surgical intervention. However, those presenting with extremes e.g. heart failure, or septic shock who are not ideal candidates for conventional medical therapy might benefit from minimally invasive procedures.ObjectiveThis review summarizes existing observational studies that reported minimally invasive procedures to debulk vegetation due to infective endocarditis either on valve or cardiac implantable electronic devices.MethodsA targeted literature review was conducted to identify studies published in PubMed/MEDLINE, EMBASE, and Cochrane Central Database from January 1, 2015 to June 5, 2023. The efficacy and/or effectiveness of minimally invasive procedural interventions to debulk vegetation due to RSIE were summarized following PRISMA guidelines.ResultsA total of 11 studies with 208 RSIE patients were included. There were 9 studies that assessed the effectiveness of the AngioVac system and 2 assessed the Penumbra system. Overall procedure success rate was 87.9%. Among 8 studies that reported index hospitalization, 4 studies reported no death, while the other 4 studies reported 10 deaths.ConclusionsThis study demonstrates that multiple systems can provide minimally invasive procedure options for patients with RSIE with high procedural success. However, there are mixed results regarding complications and mortality rates. Further large cohort studies or randomized clinical trials are warranted to assess and/or compare the efficacy and safety of these systems.

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Section: Resultsmentioning

confidence: 99%

“…Of the 138 records identified, 54 were from PubMed/MEDLINE, 84 were from EMBASE, and 11 were from the Cochrane Central Database (Figure 1). Excluding duplicates, 41 case reports and 37 irrelevant studies, 11 studies were included in this targeted literature review 16–26 . Among these, 2 were abstracts and 9 were manuscripts.…”

Section: Resultsmentioning

confidence: 99%