Diagnostic Performance of Transesophageal Echocardiography and Cardiac Computed Tomography in Infective Endocarditis.


Journal

Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
ISSN: 1097-6795
Titre abrégé: J Am Soc Echocardiogr
Pays: United States
ID NLM: 8801388

Informations de publication

Date de publication:
12 2020
Historique:
received: 01 12 2019
revised: 21 07 2020
accepted: 22 07 2020
pubmed: 29 9 2020
medline: 25 9 2021
entrez: 28 9 2020
Statut: ppublish

Résumé

Multimodality imaging is essential for infective endocarditis (IE) diagnosis. The aim of this work was to evaluate the agreement between transesophageal echocardiography (TEE) and cardiac computed tomography (CT) findings in patients with surgically confirmed IE. Sixty-eight patients (mean age 63 ± 2 years) with a definite diagnosis of left-side IE according to the modified European Society of Cardiology Duke criteria, on both native and prosthetic valves, underwent TEE and cardiac CT before surgery. The presence of valvular (vegetations, erosion) and paravalvular (abscess, pseudoaneurysm) IE-related lesions were compared between both modalities. Perioperative inspection was used as reference. TEE performed better than CT in detecting valvular IE-related lesions (TEE area under the curve [AUC In patients with a definite diagnosis of left-side IE according to the modified European Society of Cardiology Duke criteria, TEE performed better than CT for the detection of valvular IE-related lesions and similar to CT for the detection of paravalvular IE-related lesions.

Sections du résumé

BACKGROUND
Multimodality imaging is essential for infective endocarditis (IE) diagnosis. The aim of this work was to evaluate the agreement between transesophageal echocardiography (TEE) and cardiac computed tomography (CT) findings in patients with surgically confirmed IE.
METHODS
Sixty-eight patients (mean age 63 ± 2 years) with a definite diagnosis of left-side IE according to the modified European Society of Cardiology Duke criteria, on both native and prosthetic valves, underwent TEE and cardiac CT before surgery. The presence of valvular (vegetations, erosion) and paravalvular (abscess, pseudoaneurysm) IE-related lesions were compared between both modalities. Perioperative inspection was used as reference.
RESULTS
TEE performed better than CT in detecting valvular IE-related lesions (TEE area under the curve [AUC
CONCLUSIONS
In patients with a definite diagnosis of left-side IE according to the modified European Society of Cardiology Duke criteria, TEE performed better than CT for the detection of valvular IE-related lesions and similar to CT for the detection of paravalvular IE-related lesions.

Identifiants

pubmed: 32981789
pii: S0894-7317(20)30477-6
doi: 10.1016/j.echo.2020.07.017
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1442-1453

Informations de copyright

Copyright © 2020 American Society of Echocardiography. Published by Elsevier Inc. All rights reserved.

Auteurs

Islem Sifaoui (I)

Radiology Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France. Electronic address: islem.sifaoui@aphp.fr.

Leopold Oliver (L)

Cardiology Department, SOS Endocardites unit, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Vania Tacher (V)

Radiology Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 18, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Antonio Fiore (A)

Cardiac Surgery Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Raphael Lepeule (R)

Antimicrobial Stewardship Team, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.

Amina Moussafeur (A)

Cardiology Department, SOS Endocardites unit, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.

Raphaelle Huguet (R)

Cardiology Department, SOS Endocardites unit, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Emmanuel Teiger (E)

Cardiology Department, SOS Endocardites unit, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Etienne Audureau (E)

Public Health Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.

Haytham Derbel (H)

Radiology Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.

Alain Luciani (A)

Radiology Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 18, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Hicham Kobeiter (H)

Radiology Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Pascal Lim (P)

Cardiology Department, SOS Endocardites unit, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Julien Ternacle (J)

Cardiology Department, SOS Endocardites unit, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

Jean-François Deux (JF)

Radiology Department, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France; INSERM U955, Team 8, Paris-Est Creteil University, Val-de-Marne, Créteil, France.

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