Successful debulking of vegetation extending into the right ventricle using a steerable sheath and leadless retrieval system

Lead-associated endocarditis, characterized by large vegetations, poses a significant risk of embolization during transvenous lead extraction, necessitating surgical intervention that may be contraindicated in critically ill patients. We describe a successful catheter-based debulking of massive vegetation extending to the right ventricular apex using a steerable sheath and leadless retrieval system.