El Sabbagh Abdallah, Yucel Evin, Zlotnick David, Moriarty John M, Younes Stephanie, Hamid Nadira, Akhtar Yasir, Baddour Larry M, O'Gara Patrick, Starck Christoph, Bangalore Sripal, Parikh Sahil A, Rosenfield Kenneth, Sethi Sanjum S
Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida.
Division of Cardiovascular Disease, Corrigan Minehan Heart Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
J Soc Cardiovasc Angiogr Interv. 2024 Feb 20;3(4):101269. doi: 10.1016/j.jscai.2023.101269. eCollection 2024 Apr.
In recent years, there has been a shift in the epidemiology of patients with infective endocarditis (IE). This has been characterized by an alarming increase in IE in patients who inject drugs, cardiac implantable electronic device-related IE, and those with comorbid conditions and high surgical risk. This unmet need has mandated a reevaluation of complex management strategies in these patients and introduction of unconventional approaches in treatment. Percutaneous mechanical aspiration has emerged as both a diagnostic and therapeutic option in selected patients with IE. In this review, the authors discuss the gaps in care of IE, rationale, device armamentarium, procedural, and technical considerations and applications of percutaneous mechanical aspiration in IE.
近年来，感染性心内膜炎（IE）患者的流行病学发生了变化。其特征是注射毒品患者、心脏植入式电子设备相关IE患者以及伴有合并症且手术风险高的患者中IE的发生率惊人地增加。这种未满足的需求促使对这些患者的复杂管理策略进行重新评估，并引入非常规治疗方法。经皮机械抽吸已成为部分IE患者的诊断和治疗选择。在本综述中，作者讨论了IE护理中的差距、原理、设备库、操作和技术注意事项以及经皮机械抽吸在IE中的应用。
