Usefulness of Fluorine-18 Positron Emission Tomography/Computed Tomography for Identification of Cardiovascular Implantable Electronic Device Infections

Sarrazin, J.; Philippon, François; Tessier, Michel; Guimond, Jean; Molin, Franck; Champagne, Jean; Nault, Isabelle; Blier, Louis; Nadeau, Maxime; Charbonneau, Lyne; Trottier, Mikaël; O’Hara, Gilles

doi:10.1016/j.jacc.2011.11.059

Cited by 266 publications

(174 citation statements)

References 15 publications

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“…15 Supplementary diagnostics should include transoesophageal echocardiography to visualise leads, valvular involvement and vegetation, 15 and in some cases 18-fluorodeoxyglucose positron emission tomography (FDG-PET). 34,35 …”

mentioning

confidence: 99%

Management of Cardiac Electronic Device Infections: Challenges and Outcomes

Kirkfeldt¹,

Johansen²,

Nielsen³

2016

Arrhythmia &Amp; Electrophysiology Review

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Cardiac implantable electronic device (CIED) infection is an increasing problem. Reasons for this are uncertain, but likely relate to an increasing proportion of implantable cardioverter defibrillator (ICD) and cardiac resynchronisation therapy (CRT) devices implanted, as well as implantations in ‘higher risk’ candidates, i.e. patients with heart failure, diabetes and renal failure. Challenges within the field of CIED infections are multiple with prevention being the most important challenge. Careful prescription of CIED treatment and careful patient preparation before implantation is important. Diagnosis is often difficult and delayed by subtle signs of infection. Treatment of CIED infection includes complete system removal in centres experienced in CIED extraction and prolonged antibiotic therapy. Meticulous planning and preparation before system extraction and later CIED re-implantation is essential for better patient outcome. Future strategies for reducing CIED infection should be tested in sufficiently powered, multicentre, randomised controlled trials

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mentioning

confidence: 99%

Management of Cardiac Electronic Device Infections: Challenges and Outcomes

Kirkfeldt¹,

Johansen²,

Nielsen³

2016

Arrhythmia &Amp; Electrophysiology Review

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“…15,18,22,[26][27][28][29][30][31] However, one caveat is that the majority of studies evaluating diagnostic accuracy in suspected CIED-GPI only include confirmed cases or those with medium-to-high pre-test probability. Paradoxically, patients at the opposite end of the spectrum (with a lower pre-test probability of infection at initial presentation) are generally considered to pose a greater diagnostic challenge and by comparison are relatively underrepresented in these studies; arguably, a novel non-invasive diagnostic tool would be most useful in this group of patients, and further studies assessing the performance of 18 F-FDG in this group are desirable.…”

Section: Historical Perspectivementioning

confidence: 99%

18F-FDG PET/CT now endorsed by guidelines across all types of CIED infection: Evidence limited but growing

Ahmed

Arumugam

2019

Journal of Nuclear Cardiology

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“…26 Protez kapak veya İK cihaz enfeksiyonu tanı-sında 18 F-floro-deoksiglikoz (FDG)-PET/BT kullanılarak pek çok çalışma yapılmıştır. 23,24,[27][28][29] Protez kapaklı 72 hastalık bir çalışmada, Duke kriterlerine, anormal FDG tutulumun eklenmesiyle duyarlılık %70'den %97'ye çıkmıştır. Daha önemlisi, Duke kriterlerine göre, muhtemel PKE tanısı alan hastaların %43'ünde endokardit tanısı kesinleştirilmiş veya dışlanmıştır.…”

Section: Manyeti̇k Rezonans Görüntülemeunclassified

“…Ayrıca, yüzeyel enfeksiyon, derin cep enfeksiyonundan ayırt edilebilmiştir. 29 Yüzeyel enfeksiyon antibiyotikle tedavi edilirken, derin cep infeksiyonunda tüm sistem çıkarılmaktadır.…”

Section: Manyeti̇k Rezonans Görüntülemeunclassified