ECG-gated CT in Aortic Perivalvular Abscess: Comparison with Transesophageal Echocardiography and Intraoperative Findings.
Abscess
/ diagnostic imaging
Aortic Valve
/ diagnostic imaging
Cardiac-Gated Imaging Techniques
Echocardiography, Transesophageal
Electrocardiography
Endocarditis
/ diagnostic imaging
Female
Heart Valve Diseases
/ diagnostic imaging
Humans
Image Interpretation, Computer-Assisted
Imaging, Three-Dimensional
Male
Middle Aged
Sensitivity and Specificity
Tomography, X-Ray Computed
Journal
Radiology
ISSN: 1527-1315
Titre abrégé: Radiology
Pays: United States
ID NLM: 0401260
Informations de publication
Date de publication:
11 2020
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
334-341Commentaires et corrections
Type : CommentIn