"National survey for preliminary evaluation of neuroradiological protocols in patients with infective endocarditis".

Autor: Picherit A; department of Neuroradiology, University Hospital of Nantes (France)., Kerleroux DB; department of Neuroradiology, Saint-Anne Hospital, Paris (France)., Forestier G; department of Neuroradiology, University Hospital of Limoges (France)., Marnat G; department of Neuroradiology, University Hospital of Bordeaux (France)., Boutet C; department of Neuroradiology, University Hospital of Saint-Etienne (France)., Ifergan H; department of Neuroradiology, University Hospital of Tours (France)., Hak JF; department of Neuroradiology, University Hospital of Marseilles (France)., Guedon A; department of Neuroradiology, Lariboisière Hospital, Paris (France)., Lecler A; department of Neuroradiology, Hospital Fondation Rothschild, Paris (France)., Heck O; department of Neuroradiology, University Hospital of Grenoble (France)., Paya C; department of Neuroradiology, University Hospital of Reunion Island (France)., Burel J; department of Neuroradiology, University Hospital of Rouen (France)., Masy M; department of Neuroradiology, Hospital of Valencienne (France)., Lauvin MA; department of Neuroradiology, Hospital of Saint Cyr sur Loire (France)., Rodallec M; department of Cardiology, Centre Cardiologique du Nord, Saint-Denis (France)., Eugene F; department of Neuroradiology, University Hospital of Rennes (France)., Zhu F; department of Neuroradiology, University Hospital of Nancy (France)., Pop R; department of Neuroradiology, University Hospital of Strasbourg (France)., Boucebci S; department of Neuroradiology, University Hospital of Poitiers (France)., Soize S; U department of Neuroradiology, niversity Hospital of Reims (France)., Boulouis G; department of Neuroradiology, University Hospital of Tours (France)., Bourcier R; department of Neuroradiology, University Hospital of Nantes (France). Electronic address: romain.bourcier@chu-nantes.fr.
Jazyk: angličtina
Zdroj: Journal of neuroradiology = Journal de neuroradiologie [J Neuroradiol] 2023 Nov; Vol. 50 (6), pp. 548-555. Date of Electronic Publication: 2023 Feb 27.
DOI: 10.1016/j.neurad.2023.02.004
Abstrakt: Objectives: The aim of this study was to identify imaging protocols in patients with infective endocarditis through a nationwide survey.
Methods: An electronic evolutionary survey was sent to interventional Neuroradiologists among neuroradiological centers, under the aegis of the Société Française de Neuroradiologie. Among 33 contacted centers, 25 completed the survey (21 universitary hospitals and 4 peripheric hospitals).
Results: Most of the centers (88%) used systematic imaging screening in IE patients. MRI was the first imaging method used in 66% of cases, while CT was used in 44%. When no IIA was detectable in CT-scan screening, 6 (54,54%) stopped investigations, while 9 (81,81%) continued with MRI exploration in case of hemorrhage, ischemia or enhancement. Sulcal hemorrhage on MRI was an indication of complementary DSA in 25 centers (100%). Regarding IIA characterization, 12 centers (48%) used systematic DSA, whereas for 10 centers (40%), DSA was conditioned by hemorrhage or patient status.
Conclusion: We highlighted large variations in Neuroimaging exploration and follow-up of IE patients in real-world practices. Expert guidelines able to standardize practices are warranted to improve the management of this serious and often misdiagnosed pathology.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial or personal relationships that could be viewed as influencing the work reported in this paper.
(Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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