{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T08:18:18Z","timestamp":1769761098247,"version":"3.49.0"},"reference-count":9,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T00:00:00Z","timestamp":1500422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Infections involving internal cardiac devices can be very challenging to treat, and almost universally require complete device extraction for successful management. Of the pathogens that cause device\u2010related endocarditis, fungi such as <jats:italic>Candida albicans<\/jats:italic> are notoriously difficult to manage because of their propensity to produce large vegetations and the need for long\u2010term treatment with potentially toxic medications. Furthermore, individuals who develop fungal, device\u2010associated endocarditis are typically among the most complex patients, with significant comorbidities that place them at high risk for open heart procedures such as surgical device extraction. We present a case of one such patient in whom treatment of <jats:italic>Candida albicans<\/jats:italic> device\u2010related endocarditis was managed using AngioVac<jats:sup>\u00ae<\/jats:sup> aspiration of a large right atrial vegetation with simultaneous laser sheath extraction of the implantable cardioverter\u2010defibrillator lead.<\/jats:p>","DOI":"10.1002\/ccd.27153","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T11:57:57Z","timestamp":1500465477000},"page":"318-321","source":"Crossref","is-referenced-by-count":13,"title":["Fighting fungus with a laser and a hose: Management of a giant <i>Candida albicans<\/i> implantable cardioverter\u2010defibrillator lead vegetation with simultaneous AngioVac aspiration and laser sheath lead extraction"],"prefix":"10.1002","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3693-5388","authenticated-orcid":false,"given":"Brandon M.","family":"Jones","sequence":"first","affiliation":[{"name":"Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oussama","family":"Wazni","sequence":"additional","affiliation":[{"name":"Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan J.","family":"Rehm","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Cleveland Clinic Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehdi H.","family":"Shishehbor","sequence":"additional","affiliation":[{"name":"Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.05.016"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192665"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2010.01866.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12391"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ933"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/IMI.0000000000000189"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12087"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24593"},{"key":"e_1_2_6_10_1","first-page":"E137","article-title":"A successful percutaneous mechanical vegetation debulking used as a bridge to surgery in acute tricuspid valve endocarditis","volume":"8","author":"Makdisi G","year":"2016","journal-title":"J Thorac Dis"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.27153","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T07:38:42Z","timestamp":1695713922000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,19]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1002\/ccd.27153"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27153","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,19]]}}}