Infective Endocarditis: Echocardiographic Imaging and New Imaging Modalities
| Autor: | Nunzia Fele, Rosa Mocerino, Pio Caso, Chiara Sordelli, Luigi Ascione, Stefano De Vivo, Carlo Tascini, Sara Hana Weisz, Antonio Carrozza, Sergio Severino |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Review Article 030204 cardiovascular system & hematology Intracardiac injection 030218 nuclear medicine & medical imaging multimodality imaging 03 medical and health sciences transthoracic echocardiography 0302 clinical medicine medicine Endocarditis Radiology Nuclear Medicine and imaging Multislice Abscess medicine.diagnostic_test business.industry infective endocarditis transesophageal echocardiography Echogenicity Magnetic resonance imaging Lead Endocarditis medicine.disease Infective endocarditis 3D transesophageal echocardiography Radiology Cardiology and Cardiovascular Medicine business Rare disease |
| Zdroj: | Journal of Cardiovascular Echography |
| ISSN: | 2347-193X 2211-4122 |
| Popis: | Infective endocarditis (IE) is a rare disease with a significant impact and an increasing mortality despite earlier diagnosis and surgical intervention. It is related to several and the main etiological agents are the Gram-positive cocci. The new guidelines propose new diagnostic criteria that consider the potentiality on integrated multimodality imaging. Echocardiography (TTE) plays a key role for the diagnosis of IE and must be performed as soon as IE is suspected. It allows to identify vegetation, abscess, new dehiscence of prosthetic valve and assesses the number, size, shape, location, echogenicity and mobility of vegetations so it also useful for prediction embolic risk. Transesophageal echocardiography (TEE) is indicated when TTE is positive or non diagnostic, in case of suspected complications and when intracardiac device leads are present. We underline the increasing role of three-dimensional (3D) echocardiography in overcoming the limit of 2DTEE in selecting the maximum true diameter of irregular masses (ie, vegetation). We also underline the diagnostic value of multislice computed tomograpfy (MSCT), cerebral magnetic resonance (RMI) and nuclear imaging and also emphasize the emerging role of particular types of endocarditis specially Lead Endocarditis. The aim of this review is to provide an overview of the imaging techniques useful for the diagnosis and identification of any complications. In our opinion, the management of IE is complex, based on an "Endocarditis team " composed by several specialist and an integrated multimodality imaging is essential for the diagnostic approach. |
| Databáze: | OpenAIRE |
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