The Role of Coronary Catheterization with Angiography in Surgically Managed Infectious Endocarditis

El‐Dalati, Sami; Shea, Michael J.; Fukuhara, Shinichi; Weinberg, Richard L.; Ressler, Kirra; Perry, D. Alexander; Wolverton, Jeremy; Geltz, Amy; Deeb, G. Michael

doi:10.1016/j.amjmed.2019.12.019

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…13 As highlighted in Figure 2, delays may occur in obtaining certain diagnostic testing, such as transesophageal echocardiography, magnetic resonance imaging, or coronary angiography. 14 At the authors institution most patients with endocarditis are admitted as outside hospital referrals for surgical evaluation. However, many of these transfers happen on Friday evenings due to bed availability.…”

Section: Phase Ii: Identify the Problem(s)mentioning

confidence: 99%

A step-by-step guide to implementing a multidisciplinary endocarditis team

El‐Dalati

Cronin

Riddell

et al. 2021

Therapeutic Advances in Infection

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Over the last several years multiple studies, primarily from European centers have demonstrated the clinical and outcomes benefits of multidisciplinary endocarditis teams. Despite this literature, adoption of this approach to patient care has been slower in the United States. While there is literature outlining the optimal composition of an endocarditis team, there is little information to guide providers as they attempt to transform practice from a fragmented, disjointed process to an efficient, collaborative care model. In this review, the authors will outline the steps they took to create and implement a successful multidisciplinary endocarditis team at the University of Michigan. In conjunction with existing data, this piece can be used as a resource for clinicians seeking to improve the care of patients with endocarditis at their institutions.

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Section: Phase Ii: Identify the Problem(s)mentioning

confidence: 99%

A step-by-step guide to implementing a multidisciplinary endocarditis team

El‐Dalati

Cronin

Riddell

et al. 2021

Therapeutic Advances in Infection

Self Cite

View full text Add to dashboard Cite

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Screening for coronary artery disease in early surgical treatment of acute aortic valve infective endocarditis

Knol

Wahadat

Roos‐Hesselink

et al. 2020

Interactive CardioVascular and Thoracic Surgery

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OBJECTIVES In patients with unknown coronary status undergoing surgery for acute infective endocarditis (IE), the need to screen for coronary artery disease (CAD) and the risk of embolization during invasive coronary angiography (ICA) are debated. Coronary computed tomography angiography (CCTA) is a non-invasive alternative in these patients. We aimed to evaluate the safety and feasibility of ICA and CCTA to diagnose CAD, and the necessity to treat CAD to prevent CAD-related postoperative complications. METHODS In this single-centre retrospective cohort study, all patients with acute aortic IE between 2009 and 2019 undergoing surgery were selected. Outcomes were any clinically evident embolization after preoperative ICA, in-hospital mortality, perioperative myocardial infarction or unplanned revascularization and postoperative renal function. RESULTS Of the 159 included patients, CAD status was already known in 14. No preoperative diagnostics for CAD was done in 46/145, a CCTA was performed in 54/145 patients and an ICA in 52/145 patients. Significant CAD was found after CCTA in 22% and after ICA in 21% of patients. In 1 of the 52 (2%) patients undergoing preoperative ICA, a cerebral embolism occurred. The rate of perioperative myocardial infarction or unplanned revascularization in patients not screened for CAD was 2% (1 out of 46 patients). CONCLUSIONS Although the risk of embolism after preoperative ICA is low, it should be carefully weighed against the estimated risk of CAD-related perioperative complications. CCTA can serve as a gatekeeper for ICA in most patients with acute aortic IE.

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Infective Endocarditis in Patients with End-Stage Renal Disease on Dialysis: Epidemiology, Risk Factors, Diagnostic Challenges, and Management Approaches

Issa,

Chaaban,

Salahie

et al. 2024

Healthcare

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Infective endocarditis (IE) poses a significant clinical challenge, especially among patients with end-stage renal disease (ESRD) undergoing dialysis, and is associated with high morbidity and mortality rates. This review provides a contemporary discussion of the epidemiology, risk factors, diagnostic challenges, and management strategies for IE among ESRD patients, including a literature review of recent studies focused on this vulnerable population. The review highlights the multifactorial nature of IE risk in ESRD patients, emphasizing the roles of vascular access type, dialysis modality, and comorbid conditions. It also explores the diagnostic utility of different imaging modalities and the importance of a multidisciplinary approach in managing IE, including both medical and surgical interventions. The insights from this review aim to contribute to the improvement of patient outcomes through early recognition, appropriate antimicrobial therapy, and timely surgical intervention when necessary.

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The Role of Coronary Catheterization with Angiography in Surgically Managed Infectious Endocarditis

Cited by 3 publications

References 12 publications

A step-by-step guide to implementing a multidisciplinary endocarditis team

A step-by-step guide to implementing a multidisciplinary endocarditis team

Screening for coronary artery disease in early surgical treatment of acute aortic valve infective endocarditis

Infective Endocarditis in Patients with End-Stage Renal Disease on Dialysis: Epidemiology, Risk Factors, Diagnostic Challenges, and Management Approaches

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