Intracardiac echocardiography in the diagnosis of prosthetic valve endocarditis

Kolodner, Debra Quinn; Shimbo, Daichi; Magnano, Anthony R.

doi:10.1136/bcr.2006.104091

Cited by 1 publication

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“…9,10 However, the role of ICE in diagnosing native or prosthetic valves related IE has not been well established to date as only one related study and a case report have been published. 11,12 We utilized ICE in our patient to establish a prompt diagnosis and institute an appropriate treatment.…”

Section: Discussionmentioning

confidence: 99%

Utility of Intracardiac Echocardiography to Diagnose Infective Endocarditis

Yang

Aung

Khan

et al. 2019

Journal of Investigative Medicine High Impact Case Reports

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Infective endocarditis (IE) can lead to significant morbidity and mortality without appropriate treatment. Modified Duke Criteria are accepted by many professional societies to establish the diagnosis of IE, and cardiac imaging is one of the major diagnostic criteria. Transesophageal echocardiography is an algorithmic escalation to diagnose IE when transthoracic echo does not appreciate a positive finding. In patients with contraindications to transesophageal echocardiography, cardiac magnetic resonance imaging, cardiac computed tomography (CT), cardiac CT angiography, and fluorodeoxyglucose positron emission tomography with CT or CT angiography may be alternative diagnostic tools. However, these imaging modalities have their own limitations such as local unavailability, the presence of non–magnetic resonance imaging compatible implants, or impaired renal function. Intracardiac echocardiography could be a considerable alternative under those circumstances.

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