Percutaneous thrombectomy assisted lead extraction: successful diagnosis and treatment in a case report of culture negative endocarditis

Our case is one of the first to demonstrate the extent to which the integumentary pathogen <i>P. acnes</i> is involved in cardiac infections. It is also the first literature-reported case to utilize AE to treat <i>P. acnes</i> ICD endocarditis involving the NTV. This case illustrates the utility of AE in vegetation debulking prior to ICD LE and in identifying atypical pathogens where conventional diagnostic tests are unable to detect a pathogen.