18F-FDG PET/CT in the Diagnosis and Management of Continuous Flow Left Ventricular Assist Device Infections: A Case Series and Review of the Literature

被引:22
作者
Akin, Sakir [1 ,2 ]
Muslem, Rahat [1 ,3 ]
Constantinescu, Alina A. [1 ]
Manintveld, Olivier C. [1 ]
Birim, Ozcan [3 ]
Brugts, Jasper J. [1 ]
Maat, Alexander P. W. M. [3 ]
Froberg, Alida C. [4 ]
Bogers, Ad J. J. C. [3 ]
Caliskan, Kadir [1 ]
机构
[1] Erasmus MC, Univ Med Ctr Rotterdam, Dept Cardiol, Rotterdam, Netherlands
[2] Erasmus MC, Univ Med Ctr Rotterdam, Dept Intens Care, Rotterdam, Netherlands
[3] Erasmus MC, Univ Med Ctr Rotterdam, Dept Cardiothorac Surg, Rotterdam, Netherlands
[4] Erasmus MC, Univ Med Ctr Rotterdam, Dept Radiol & Nucl Med, Rotterdam, Netherlands
关键词
left ventricular assist devices; infection; F-18-FDG PET; CT; EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY; FDG-PET/CT; VALVE ENDOCARDITIS; CT;
D O I
10.1097/MAT.0000000000000552
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Implantable continuous flow left ventricular assist devices (LVADs) are increasingly used in end-stage heart failure treatment as a bridge-to-transplant and destination therapy (DT). However, LVADs still have major drawbacks, such as infections that can cause morbidity and mortality. Unfortunately, appropriate diagnosis of LVAD-related and LVAD-specific infections can be very cumbersome. The differentiation between deep and superficial infections is crucial in clinical decision-making. Despite a decade of experience in using fluorodeoxyglucose positron emission tomography/computed tomography (F-18-FDG PET/CT) to diagnose various infections, its use in LVAD patients remains scarce. In this case series, we review the current evidence in literature and describe our single center experience using F-18-FDG PET/CT for the diagnosis and management of LVAD infections.
引用
收藏
页码:E11 / E19
页数:9
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