Cardiovascular infections are associated with high morbidity and mortality. Early diagnosis is crucial for adequate patient’s management, as early treatment improves the prognosis. Cardiovascular infections are difficult to diagnose on the basis of a single symptom, sign, or diagnostic test. Rather, the diagnosis requires a multidisciplinary discussion in addition to the integration of clinical signs, microbiology data, and imaging data. The application of multimodality imaging, including molecular imaging techniques, has improved the sensitivity to detect infections involving heart valves and vessels and implanted cardiovascular devices, while also allowing for early detection of septic emboli and metastatic infections before these become clinically apparent. This chapter describes the main epidemiological, clinical, and diagnostic challenges in infective endocarditis and infections associated with cardiovascular implantable electronic devices, with particular regard to the role of WBC SPECT/CT and [18F]FDG PET/CT in each diagnostic algorithm. In addition, the needs of proper hybrid equipment, dedicated imaging acquisition protocols, specific expertise for imaging reading and imaging interpretations in this field are discussed, emphasizing the need of a specific reference framework within a cardiovascular multidisciplinary team approach.

Sollini, M., Bandera, F., Bartoli, F., Zanca, R., Lazzeri, E., Erba, P. (2021). Infective Endocarditis and Cardiovascular Implantable Electronic Device Infection. In E. Lazzeri, A. Signore, P.A. Erba, N. Prandini, A. Versari, G. D´Errico, et al. (a cura di), Radionuclide Imaging of Infection and Inflammation A Pictorial Case-Based Atlas (pp. 183-213). Springer Cham [10.1007/978-3-030-62175-9_9].

Infective Endocarditis and Cardiovascular Implantable Electronic Device Infection

Erba, Paola Anna
2021

Abstract

Cardiovascular infections are associated with high morbidity and mortality. Early diagnosis is crucial for adequate patient’s management, as early treatment improves the prognosis. Cardiovascular infections are difficult to diagnose on the basis of a single symptom, sign, or diagnostic test. Rather, the diagnosis requires a multidisciplinary discussion in addition to the integration of clinical signs, microbiology data, and imaging data. The application of multimodality imaging, including molecular imaging techniques, has improved the sensitivity to detect infections involving heart valves and vessels and implanted cardiovascular devices, while also allowing for early detection of septic emboli and metastatic infections before these become clinically apparent. This chapter describes the main epidemiological, clinical, and diagnostic challenges in infective endocarditis and infections associated with cardiovascular implantable electronic devices, with particular regard to the role of WBC SPECT/CT and [18F]FDG PET/CT in each diagnostic algorithm. In addition, the needs of proper hybrid equipment, dedicated imaging acquisition protocols, specific expertise for imaging reading and imaging interpretations in this field are discussed, emphasizing the need of a specific reference framework within a cardiovascular multidisciplinary team approach.
Capitolo o saggio
Infective Endocarditis, Cardiovascular Implantable Electronic Device Infection, imaging
English
Radionuclide Imaging of Infection and Inflammation A Pictorial Case-Based Atlas
Lazzeri, E; Signore, A; Erba, PA; Prandini, N; Versari, A; D´Errico, G; Mariani, G
2021
9783030621742
Springer Cham
183
213
Sollini, M., Bandera, F., Bartoli, F., Zanca, R., Lazzeri, E., Erba, P. (2021). Infective Endocarditis and Cardiovascular Implantable Electronic Device Infection. In E. Lazzeri, A. Signore, P.A. Erba, N. Prandini, A. Versari, G. D´Errico, et al. (a cura di), Radionuclide Imaging of Infection and Inflammation A Pictorial Case-Based Atlas (pp. 183-213). Springer Cham [10.1007/978-3-030-62175-9_9].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/426058
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