**4.2 AngioVac in CIDE**

Recent data from Starck et al. in 101 patients undergoing lead extraction with vegetation showed low risk and possible survival benefit when PTVD was combined with lead extraction [35]. Extraction was performed with either mechanical, laser or traction alone in the setting of a femoral to femoral venous configuration of AngioVac. This resulted in a theoretical reduction of septic pulmonary emboli with low intraprocedural complication rate. Overall, thirty-day mortality was 3% which was due to severe sepsis.
