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Role of radionuclide imaging for diagnosis of device and prosthetic valve infections

Cardiovascular implantable electronic device (CIED) infection and prosthetic valve endocarditis (PVE) remain a diagnostic challenge. Cardiac imaging plays an important role in the diagnosis and management of patients with CIED infection or PVE. Over the past few years, cardiac radionuclide imaging h...

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Autores principales: Sarrazin, Jean-François, Philippon, François, Trottier, Mikaël, Tessier, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039355/
https://www.ncbi.nlm.nih.gov/pubmed/27721936
http://dx.doi.org/10.4330/wjc.v8.i9.534
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author Sarrazin, Jean-François
Philippon, François
Trottier, Mikaël
Tessier, Michel
author_facet Sarrazin, Jean-François
Philippon, François
Trottier, Mikaël
Tessier, Michel
author_sort Sarrazin, Jean-François
collection PubMed
description Cardiovascular implantable electronic device (CIED) infection and prosthetic valve endocarditis (PVE) remain a diagnostic challenge. Cardiac imaging plays an important role in the diagnosis and management of patients with CIED infection or PVE. Over the past few years, cardiac radionuclide imaging has gained a key role in the diagnosis of these patients, and in assessing the need for surgery, mainly in the most difficult cases. Both (18)F-fluorodeoxyglucose positron emission tomography/computed tomography ((18)F-FDG PET/CT) and radiolabelled white blood cell single-photon emission computed tomography/computed tomography (WBC SPECT/CT) have been studied in these situations. In their 2015 guidelines for the management of infective endocarditis, the European Society of Cardiology incorporated cardiac nuclear imaging as part of their diagnostic algorithm for PVE, but not CIED infection since the data were judged insufficient at the moment. This article reviews the actual knowledge and recent studies on the use of (18)F-FDG PET/CT and WBC SPECT/CT in the context of CIED infection and PVE, and describes the technical aspects of cardiac radionuclide imaging. It also discusses their accepted and potential indications for the diagnosis and management of CIED infection and PVE, the limitations of these tests, and potential areas of future research.
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spelling pubmed-50393552016-10-09 Role of radionuclide imaging for diagnosis of device and prosthetic valve infections Sarrazin, Jean-François Philippon, François Trottier, Mikaël Tessier, Michel World J Cardiol Review Cardiovascular implantable electronic device (CIED) infection and prosthetic valve endocarditis (PVE) remain a diagnostic challenge. Cardiac imaging plays an important role in the diagnosis and management of patients with CIED infection or PVE. Over the past few years, cardiac radionuclide imaging has gained a key role in the diagnosis of these patients, and in assessing the need for surgery, mainly in the most difficult cases. Both (18)F-fluorodeoxyglucose positron emission tomography/computed tomography ((18)F-FDG PET/CT) and radiolabelled white blood cell single-photon emission computed tomography/computed tomography (WBC SPECT/CT) have been studied in these situations. In their 2015 guidelines for the management of infective endocarditis, the European Society of Cardiology incorporated cardiac nuclear imaging as part of their diagnostic algorithm for PVE, but not CIED infection since the data were judged insufficient at the moment. This article reviews the actual knowledge and recent studies on the use of (18)F-FDG PET/CT and WBC SPECT/CT in the context of CIED infection and PVE, and describes the technical aspects of cardiac radionuclide imaging. It also discusses their accepted and potential indications for the diagnosis and management of CIED infection and PVE, the limitations of these tests, and potential areas of future research. Baishideng Publishing Group Inc 2016-09-26 2016-09-26 /pmc/articles/PMC5039355/ /pubmed/27721936 http://dx.doi.org/10.4330/wjc.v8.i9.534 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
Sarrazin, Jean-François
Philippon, François
Trottier, Mikaël
Tessier, Michel
Role of radionuclide imaging for diagnosis of device and prosthetic valve infections
title Role of radionuclide imaging for diagnosis of device and prosthetic valve infections
title_full Role of radionuclide imaging for diagnosis of device and prosthetic valve infections
title_fullStr Role of radionuclide imaging for diagnosis of device and prosthetic valve infections
title_full_unstemmed Role of radionuclide imaging for diagnosis of device and prosthetic valve infections
title_short Role of radionuclide imaging for diagnosis of device and prosthetic valve infections
title_sort role of radionuclide imaging for diagnosis of device and prosthetic valve infections
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039355/
https://www.ncbi.nlm.nih.gov/pubmed/27721936
http://dx.doi.org/10.4330/wjc.v8.i9.534
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