Usefulness of Intracardiac Echocardiography for the Diagnosis of Cardiovascular Implantable Electronic Device–Related Endocarditis

Narducci, Maria Lucia; Pelargonio, Gemma; Russo, Eleonora; Marinaccio, Leonardo; Monaco, Antonio Di; Perna, Francesco; Bencardino, Gianluigi; Casella, Michela; Biase, Luigi Di; Santangeli, Pasquale; Palmieri, Rosalinda; Lauria, Christian; Mohani, Ghaliah Al; Clemente, Francesca Di; Tondo, Claudio; Pennestrì, Faustino; Ierardi, Carolina; Rebuzzi, Antonio Giuseppe; Crea, Filippo; Bellocci, Fulvio; Natale, Andrea; Russo, Antonio Dello

doi:10.1016/j.jacc.2012.12.041

Cited by 111 publications

(42 citation statements)

References 22 publications

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“…Ostatnio u pacjentów z urządzeniami wszczepialnymi za użyteczne i skuteczne narzędzie uważa się echokardiografię wewnątrzsercową [386], która cechuje się wyższą czuło-ścią wykrywania wegetacji u pacjentów z implantowanymi urządzeniami kardiologicznymi [386][387][388].…”

Section: Rozpoznanieunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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Section: Rozpoznanieunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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“…Patients with chronic lung disease of various pathogeneses may also have limited acoustic windows via TTE, which would make TEE the preferred approach. Narducci et al 99 recently reviewed their experience with the use of ICE in the diagnosis of IE involving implantable electronic devices (pacemakers and leads). Limited data confirm the utility of ICE as a diagnostic tool in such cases and perhaps its superiority as a diagnostic tool for this clinical circumstance.…”

Section: Echocardiographymentioning

confidence: 99%

Infective Endocarditis in Childhood: 2015 Update

Baltimore¹,

Gewitz²,

Baddour³

et al. 2015

Circulation

307

238

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“…We have in our institution previously found ICE to be valuable for detecting vegetations in transcatheter pulmonary valves, 26 and others have found ICE useful in detecting right-sided cardiac device-related endocarditis. 27 Sensitivity could be superior to TEE, but the specificity of this approach needs verification.…”

Section: Intracardiac Echocardiographymentioning

confidence: 99%

Prosthetic Valve Endocarditis After Transcatheter Aortic Valve Implantation

Olsen

Backer

Thyregod

et al. 2015

Circ: Cardiovascular Interventions

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Background— Transcatheter aortic valve implantation (TAVI) is an advancing mode of treatment for inoperable or high-risk patients with aortic stenosis. Prosthetic valve endocarditis (PVE) after TAVI is a serious complication, but only limited data exist on its incidence, outcome, and procedural risk factors. Methods and Results— Observational single-center study of 509 consecutive patients treated with a transcatheter implanted self-expandable aortic valve prosthesis (Medtronic CoreValve). We identified 18 patients diagnosed with TAVI-PVE during a median follow-up period of 1.4 years (interquartile range, 0.5–2.5 years; longest follow-up was 6.3 years). TAVI-PVE was most frequent in the first year after implantation (first-year incidence, 3.1% [confidence interval, 1.4%–4.8%]); the overall annualized rate was 2.1% per patient-year (confidence interval, 1.2%–3.3%). Seventeen patients (94%) were treated conservatively and 1 with surgery. Four patients (22%) died from endocarditis or complications to treatment, 2 of those (11%) during initial hospitalization for PVE. An increased risk of TAVI-PVE was seen in patients with low implanted valve position (hazard ratio, 2.8 [1.1–7.2]), moderate or worse postprocedural paravalvular regurgitation (hazard ratio, 4.0 [1.5–11]), implantation of >1 prosthesis (hazard ratio, 5.2 [1.5–18]), and any vascular complication (hazard ratio, 3.8 [1.5–9.8]). Conclusions— TAVI-PVE occurred at a slightly higher rate than reported for surgically implanted valves. Conservative treatment was associated with an acceptable outcome. Suboptimal valve deployment and vascular complications were associated with an increased risk of TAVI-PVE.

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Usefulness of Intracardiac Echocardiography for the Diagnosis of Cardiovascular Implantable Electronic Device–Related Endocarditis

Abstract: ICE represents a useful technique for the diagnosis of ICM, thus providing improved imaging of right-sided leads and increasing the diagnostic yield compared with TEE.

Cited by 111 publications

References 22 publications

2015 ESC Guidelines for the management of infective endocarditis

2015 ESC Guidelines for the management of infective endocarditis

Infective Endocarditis in Childhood: 2015 Update

Prosthetic Valve Endocarditis After Transcatheter Aortic Valve Implantation

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