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Not yet recruitingNCT07282002PAVEUpdated Apr 22, 2026

Percutaneous AngioVac Vegetation Extraction (PAVE) to Remove Right Heart Vegetations in Patients With Infective Endocarditis

An interventional study of AngioVac System in Infective Endocarditis (IE), sponsored by Angiodynamics, Inc.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-22.

Sponsored by Angiodynamics, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The investigation aims to demonstrate initial safety and efficacy of the AngioVac System for the removal of vegetation in the right heart in patients with infective endocarditis.

Read the detailed description

This is a prospective, multicenter, single-arm investigational device study evaluating safety and effectiveness.

02

Conditions studied

  • Infective Endocarditis (IE)

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Keywords

  • AngioVac
  • Infective endocarditis (IE)
03

In context

Endocarditis

173 studies on the registry are indexed under Endocarditis; 57 are open to participants now.

This study's planned enrollment of 30 is below the median of 92 across 86 interventional studies indexed under Endocarditis.

Browse Endocarditis studies →

Lead sponsor

Angiodynamics, Inc. is the lead sponsor of 22 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subject age ≥ 18 years
  2. Subject provides a signed and dated Form
  3. Subject has a diagnosis of native infective endocarditis
  4. Subject has presence of bacteremia with valvular (tricuspid or pulmonic) vegetations > 1 cm confirmed by transesophageal echocardiogram (TEE) or transthoracic echocardiogram (TTE) with the presence of septic emboli
  5. Subject has no underlying terminal illness and subject is deemed medically eligible for interventional procedure(s) per institutional guidelines and/or clinical judgment

Exclusion criteria

Exclusion Criteria:

  1. Subject requires debulking of vegetation on cardiac leads
  2. Subject has a prior history of ischemic/hemorrhagic stroke (within 3 months)
  3. Subject has a coagulation disorder
  4. Subject has arterial septic emboli
  5. Subject has cerebral septic embolism
  6. Subject has preoperative intubation due to ongoing hypoxemic respiratory failure
  7. Subject has fungal endocarditis
  8. Subject has atrial septal defect
  9. Subject has medically right-sided heart failure secondary to valvular dysfunction (SCAI SHOCK Stage Classification D or E)
  10. Subject has planned valvular replacement/repair
  11. Subject has prosthetic valves and/or annular abscesses
  12. Subject has epidural abscesses
  13. Subject is pregnant or breastfeeding
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    AngioVac System

    Percutaneous removal of right-heart vegetation using the AngioVac System Cannula and Circuit

    Device: AngioVac System

Interventions

  • DeviceAngioVac System

    Percutaneous vacuum-assisted aspiration of right-sided vegetation via suction, filtration and veno-venous bypass.

06

What researchers measure

Primary outcomes

  1. Rate of Clinical Success

    The number and proportion of patients who experience clinical success, defined as a composite of 30-day survival, absence of persistent bacteremia within 30 days post-procedure, and absence of further right-sided valve intervention through 30 days post-procedure

    Time frame: 30 days post-procedure

  2. Rate of Major Adverse Events (MAEs)

    The number and proportion of subjects who experience a MAE within 48 hours post-procedure. MAEs include: all-cause mortality, major bleeding, and device- or procedure-related adverse events of cardiac perforation, vascular perforation, dissection, or pericardial effusion/tamponade

    Time frame: 48 hours post-procedure

Secondary outcomes

  1. Proportion of subjects completing follow-up at 30 days post-procedure

    Proportion of subjects completing follow-up at 30 days post-procedure

    Time frame: 30 days post-procedure

  2. Proportion of subjects completing follow-up at 6 months post-procedure

    Proportion of subjects completing follow-up at 6 months post-procedure

    Time frame: 6 months post-procedure

  3. Absolute change in vegetation size pre-procedure to post-procedure

    Absolute change in vegetation size immediately pre-procedure to immediately post-procedure, measured by comparing imaging performed immediately pre-procedure to imaging performed immediately post-procedure (TEE)

    Time frame: Periprocedural/immediately post-procedure

  4. Percent change in vegetation size pre-procedure to post-procedure

    Percent change in vegetation size immediately pre-procedure to immediately post-procedure, measured by comparing imaging performed immediately pre-procedure to imaging performed immediately post-procedure (TEE)

    Time frame: Periprocedural/immediately post-procedure

  5. Intraoperative survival

    Proportion of patients who survive the index procedure

    Time frame: Periprocedural/immediately post-procedure

  6. In-hospital survival

    Proportion of patients who survive to be discharged from the hospital

    Time frame: Through hospital discharge, up to 6 months post-procedure

  7. 30-day survival

    30-day survival

    Time frame: 30 days post-procedure

  8. 6-month survival

    6-month survival

    Time frame: 6 months post-procedure

  9. Absence of persistent bacteremia within 7 days post-procedure

    Absence of persistent bacteremia within 7 days post-procedure

    Time frame: 7 days post-procedure

  10. Absence of persistent bacteremia within 30 days post-procedure

    Absence of persistent bacteremia within 30 days post-procedure

    Time frame: 30 days post-procedure

  11. Absence of further right-sided valve intervention through 30 days post-procedure

    Absence of further right-sided valve intervention through 30 days post-procedure

    Time frame: 30 days post-procedure

  12. Absence of further right-sided valve intervention through 6 months post-procedure

    Absence of further right-sided valve intervention through 6 months post-procedure

    Time frame: 6 months post-procedure

  13. Increase in valvular regurgitation post-procedure

    Increase in valvular regurgitation (i.e., mild to moderate or severe; moderate to severe) measured on imaging performed immediately pre-procedure to imaging performed immediately post-procedure (TEE)

    Time frame: Periprocedural/immediately post-procedure

  14. Increase in valvular regurgitation 7 days post-procedure

    Increase in valvular regurgitation 7 days post-procedure (TTE)

    Time frame: 7 days post-procedure

  15. Increase in valvular regurgitation 30 days post-procedure

    Increase in valvular regurgitation 30 days post-procedure (TTE)

    Time frame: 30 days post-procedure

  16. Increase in valvular regurgitation 6 months post-procedure

    Increase in valvular regurgitation 6 months post-procedure (TTE)

    Time frame: 6 months post-procedure

  17. Hospital length of stay

    Number of days patients are in the hospital, from date admitted to date discharged from the hospital

    Time frame: Through hospital discharge, from date admitted to the hospital to date discharged from the hospital, up to 6 months post-procedure

  18. Intensive Care Unit (ICU) length of stay

    Number of days patients are in the Intensive Care Unit (ICU), from date admitted to the ICU to date discharged from the ICU

    Time frame: Through ICU discharge, from date admitted to the ICU to date discharged from the ICU, up to 6 months post-procedure

  19. Blood loss

    Amount of blood lost during the procedure (cc) per Investigator estimate

    Time frame: Periprocedural/immediately post-procedure

  20. Transfusion secondary to periprocedural and post-procedural bleeding complications

    Number of transfusions required secondary to periprocedural and post-procedural bleeding complications

    Time frame: Through hospital discharge, up to 6 months post-procedure

  21. Rate of Device-Related Adverse Events (AEs)

    The number and proportion of subjects who experienced at least one device-related adverse event during the study

    Time frame: Through 6 months post-procedure

  22. All-cause mortality

    All-cause mortality

    Time frame: Through 6 months post-procedure

  23. Rate of Major Bleeding

    The number and proportion of subjects who experienced at Major Bleeding

    Time frame: Through 6 months post-procedure

  24. Rate of device- or procedure-related individual Adverse Events of Special Interest (AESI)

    AESI include: cardiac perforation, vascular perforation, dissection, pericardial effusion, cardiac tamponade, pulmonary embolism, arterial thrombosis, venous thrombosis, acute kidney injury, acute liver injury, microangiopathy, micro-thrombotic disease, systemic inflammatory response syndrome (SIRS), and hemolysis

    Time frame: Through 6 months post-procedure

  25. Change in blood quality parameters

    Absolute difference and percent difference in blood quality parameters from baseline to post-procedure (immediately post-procedure), 7 days, hospital discharge, and 30 days

    Time frame: Through 30 days post-procedure

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07282002
Responsible party
Sponsor
First posted
Dec 15, 2025
Start date
Apr 2026 (estimated)
Primary completion
Nov 2026 (estimated)
Completion
Mar 2027 (estimated)
Last update
Apr 22, 2026

Study contacts

Elizabeth Manning
Contact
liz.manning@angiodynamics.com
3392372765

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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