{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:26:51Z","timestamp":1786649211969,"version":"build-2736575974"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiac implantable electronic device-related infective endocarditis is a serious and increasingly frequent complication, often presenting atypically in frail patients with multiple comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>We report the case of an 83-year-old man admitted with fever and heel pain, who developed heart failure symptoms. Investigations revealed Staphylococcus aureus bacteraemia, osteitis, spondylodiscitis, and a large tricuspid valve vegetation (26\u2005mm) attached to the pacemaker lead, complicated by pulmonary embolism. Given his high surgical risk and resistant Gram-positive bacteraemia, a multidisciplinary endocarditis team opted for percutaneous vegetation thromboaspiration and complete device extraction, and pacing was ensured via an externalized temporary-permanent pacing system. After infection clearance, a leadless pacemaker was successfully implanted. The clinical outcome was favourable, with no recurrence or complications on follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case emphasizes the importance of early suspicion, advanced imaging, and tailored management of cardiac implantable electronic device-related endocarditis. Leadless pacemakers and percutaneous aspiration represent valuable strategies in high-risk patients to reduce infection recurrence and embolic risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag576","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:12:34Z","timestamp":1785323554000},"source":"Crossref","is-referenced-by-count":0,"title":["A case report of pacemaker endocarditis presenting as osteitis in a high-surgical-risk patient: a management challenge with thromboaspiration and leadless pacemaker implantation"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5973-0356","authenticated-orcid":false,"given":"Wassim","family":"Beladel","sequence":"first","affiliation":[{"name":"Department of Cardiology, Agadir University Hospital Center, IBN ZOHR University , Agadir 80000 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakaria","family":"Chaib","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Agadir University Hospital Center, IBN ZOHR University , Agadir 80000 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Birgy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sainte-Musse Hospital , Toulon 83100 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"lecardonnel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sainte-Musse Hospital , Toulon 83100 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"El Minaoui","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Agadir University Hospital Center, IBN ZOHR University , Agadir 80000 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"2026081314315581300_ytag576-B1","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM)","volume":"36","author":"Habib","year":"2015","journal-title":"Eur Heart J"},{"key":"2026081314315581300_ytag576-B2","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.120.017293","article-title":"Right-sided infective endocarditis 2020: challenges and updates","volume":"9","author":"Shmueli","year":"2020","journal-title":"J Am Heart Assoc"},{"key":"2026081314315581300_ytag576-B3","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1093\/jac\/dku383","article-title":"Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint Working Party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rhythm Society (BHRS), British Cardiovascular Society (BCS), British Heart Valve Society (BHVS) and British Society for Echocardiography (BSE)","volume":"70","author":"Sandoe","year":"2015","journal-title":"J Antimicrob Chemother"},{"key":"2026081314315581300_ytag576-B4","article-title":"Percutaneous mechanical aspiration in infective endocarditis: applications, technical considerations, and future directions","volume":"3","author":"El Sabbagh","year":"2024","journal-title":"J Soc Cardiovasc Angiogr Interv"},{"key":"2026081314315581300_ytag576-B5","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1016\/j.mayocp.2019.12.008","article-title":"Infective endocarditis: a contemporary review","volume":"95","author":"Hubers","year":"2020","journal-title":"Mayo Clin Proc"},{"key":"2026081314315581300_ytag576-B6","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1001\/jama.2012.497","article-title":"Clinical characteristics and outcome of infective endocarditis involving implantable cardiac devices","volume":"307","author":"Athan","year":"2012","journal-title":"JAMA"},{"key":"2026081314315581300_ytag576-B7","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/j.jacc.2007.01.072","article-title":"Management and outcome of permanent pacemaker and implantable cardioverter-defibrillator infections","volume":"49","author":"Sohail","year":"2007","journal-title":"J Am Coll Cardiol"},{"key":"2026081314315581300_ytag576-B8","first-page":"1008","article-title":"Novel percutaneous transcatheter intervention for refractory active endocarditis as a bridge to surgery-AngioVac aspiration system","volume":"81","author":"Divekar","year":"2013","journal-title":"Catheter Cardiovasc Interv"},{"key":"2026081314315581300_ytag576-B9","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1093\/europace\/euz246","article-title":"European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"22","author":"Blomstr\u00f6m-Lundqvist","year":"2020","journal-title":"Europace"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytag576\/70394931\/ytag576.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/8\/ytag576\/70394931\/ytag576.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/8\/ytag576\/70394931\/ytag576.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:32:03Z","timestamp":1786645923000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytag576\/8747686"}},"subtitle":[],"editor":[{"given":"Rita","family":"Pavasini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Eirini","family":"Beneki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Marcos","family":"Ferrandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Michele","family":"Malagu'","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Deepti","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,7,31]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytag576","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,7,30]]},"article-number":"ytag576"}}