ECG-gated CT in Aortic Perivalvular Abscess: Comparison with Transesophageal Echocardiography and Intraoperative Findings.


Journal

Radiology
ISSN: 1527-1315
Titre abrégé: Radiology
Pays: United States
ID NLM: 0401260

Informations de publication

Date de publication:
11 2020
Historique:
pubmed: 2 9 2020
medline: 29 12 2020
entrez: 2 9 2020
Statut: ppublish

Résumé

Background The 2015 European Society of Cardiology guidelines acknowledged similar diagnostic performance of electrocardiography (ECG)-gated CT on perivalvular abscesses compared with transesophageal echocardiography (TEE), but data on ECG-gated CT remain insufficient. Purpose To determine the diagnostic performance of ECG-gated CT for assessing aortic root perivalvular abscesses and to compare it with TEE. Materials and Methods Between January 2008 and June 2019, the imaging records of surgically confirmed infective endocarditis were retrospectively reviewed for presence of aortic perivalvular abscesses, their extension, fistulization, vegetations, and valvular destruction. The diagnostic performance of ECG-gated CT was analyzed in all patients (part A) and in an noninferiority analysis (part B; δ = -10%) in patients undergoing TEE. Results A total of 178 patients (median age, 54 years [interquartile range, 15 years]; 147 men) were evaluated (CT,

Identifiants

pubmed: 32870134
doi: 10.1148/radiol.2020200685
doi:

Types de publication

Comparative Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

334-341

Commentaires et corrections

Type : CommentIn

Auteurs

Weitao Ye (W)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Guanmin Ren (G)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Xiaomei Zhong (X)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Xuhua Jian (X)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Oudi Chen (O)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Qingyan Ma (Q)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Hongwen Fei (H)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Qiongwen Lin (Q)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Lei Wu (L)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

Hui Liu (H)

From the Departments of Radiology (W.Y., G.R., X.Z., L.W., H.L.), Cardiovascular Surgery (X.J.), and Adult Echocardiography (O.C., Q.M., H.F., Q.L.), Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan 2nd Road, Guangzhou, Guangdong, P. R. China 510080.

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