Myocardial viability assessment during Impella support with 18-fluorodesoxyglucose PET imaging

被引：0

作者：

Baldetti, Luca ^{[1
]}

Busnardo, Elena ^{[2
]}

Pazzanese, Vittorio ^{[1
]}

Ricchetti, Gianluca ^{[1
]}

Barone, Giuseppe ^{[1
]}

Sacchi, Stefania ^{[1
]}

Calvo, Francesco ^{[1
]}

Gramegna, Mario ^{[1
]}

Pieri, Marina ^{[1
,3
]}

Ingallina, Giacomo ^{[4
]}

Camici, Paolo Guido ^{[5
]}

Ajello, Silvia ^{[1
]}

Scandroglio, Anna Mara ^{[1
]}

机构：

[1] IRCCS San Raffaele Sci Inst, Cardiac Intens Care Unit, Milan, Italy

[2] IRCCS San Raffaele Sci Inst, Nucl Imaging Unit, Milan, Italy

[3] Univ Vita Salute San Raffaele, Sch Med, Milan, Italy

[4] IRCCS San Raffaele Sci Inst, Cardiovasc Imaging Unit, Milan, Italy

[5] IRCCS San Raffaele Sci Inst, Cardiovasc Res Unit, Milan, Italy

来源：

ESC HEART FAILURE | 2025年 / 12卷 / 01期

关键词：

Acute coronary syndrome; Acute myocardial infarction; Cardiogenic shock; Impella; Myocardial metabolic PET; Myocardial recovery; Myocardial viability; Positron emission tomography;

D O I：

10.1002/ehf2.15053

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Formal assessment of myocardial viability (MV) is challenging in acute myocardial infarction-related cardiogenic shock (AMI-CS) patients receiving Impella mechanical circulatory support, as the cardiac magnetic resonance gold standard technique is not feasible due to the metallic components of the device. 18-fluorodesoxyglucose metabolic myocardial positron emission tomography (18FDG-PET) may represent a valid and feasible alternative to obtain semi-quantitative and objective evidence of MV during Impella support. We hereby report the first series of sequential AMI-CS patients who received 18FDG-PET scanning to assess MV during Impella support to demonstrate the safety and feasibility of this approach. In this cohort no adverse events occurred during 18FDG-PET scans, and all images were of excellent quality. This study provides a pragmatic guidance on how to perform this imaging modality during Impella support and finally confirms the safety and feasibility of this advanced imaging method also in this vulnerable cohort of patients.

引用

页码：683 / 687

页数：5

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