Cardiothoracic & vascular anesthesia

Percutaneous Mechanical Aspiration for Tricuspid Valve Infective Endocarditis: A Systematic Review and Meta-analysis

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis

Authors' conclusion

PMA for TVIE and/or RSIE appears feasible and relatively safe, offering acceptable mortality and complication rates in high-risk patients.

Study context

Population
Patients with confirmed tricuspid valve infective endocarditis (TVIE) and/or right-sided infective endocarditis (RSIE)
Participants
1,065 patients · 8 retrospective studies
Outcome
30-day and/or in-hospital mortality
Methodological detailsrandom-effects models, meta-regression
  • Random-effects models
  • Meta-regression

Pooled result

As reported in the abstract

30-day and/or in-hospital mortality (pooled)

Pooled 30-day and/or in-hospital mortality rate

5.7%

Further pooled results

Hospital LOS

Mean hospital stay (days)
19.7
  • 95% CI: 11.9-27.5
  • I² = 98%

Recurrence of IE

Recurrence of IE
7.1%
  • 95% CI: 0.3-21.8%

Safety

New PE

New pulmonary embolism
7.5%
  • 95% CI: 4.9-10.5%

Worsening tricuspid regurgitation

Worsening tricuspid regurgitation
13.6%
  • 95% CI: 10.3-17.2%

Original publication

Percutaneous Mechanical Aspiration for Tricuspid Valve Infective Endocarditis: A Systematic Review and Meta-analysis. J Cardiothorac Vasc Anesth. Published 13 February 2026. doi:10.1053/j.jvca.2026.02.016

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