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This system uses venous cannulas and extracorporeal filtering mechanisms to effectively remove thrombi or vegetations resulting in less invasion and minimal blood loss. We present a case of a woman in her mid-50s who underwent successful AngioVac-guided removal of lead vegetations followed by percutaneous CIED removal.<\/jats:p>","DOI":"10.1136\/bcr-2022-251097","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T11:35:31Z","timestamp":1674214531000},"page":"e251097","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["AngioVac system guided removal of vegetations from pacemaker lead-related infective endocarditis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7779-7810","authenticated-orcid":false,"given":"Pranav","family":"Mahajan","sequence":"first","affiliation":[{"name":"Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA"},{"name":"Cardiology, Lehigh Valley Health Network, Allentown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surya Kiran","family":"Aedma","sequence":"additional","affiliation":[{"name":"Internal Medicine, Carle Foundation Hospital, Urbana, Illinois, USA"},{"name":"Cardiology, University of California, Riverside, Riverside, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed","family":"Ally","sequence":"additional","affiliation":[{"name":"Cardiovascular & Thoracic Surgery, Heart & Vascular, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuj","family":"Garg","sequence":"additional","affiliation":[{"name":"Electrophysiology, Cardiology, Heart & Vascular, Carle Foundation Hospital, Urbana, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"2025082804360486000_16.1.e251097.1","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.hrthm.2017.03.019","article-title":"Cardiac implantable 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