Xavier Duval1,2, Bernard Iung3,4. 1. Center of Clinical Investigations, Inserm CIC 1425, AP-HP, Bichat Hospital, Paris, France. xavier.duval@aphp.fr. 2. IAME, Inserm U1137, Paris-Diderot University, Paris, France. xavier.duval@aphp.fr. 3. Cardiology Department, AP-HP, DHU FIRE, Bichat Hospital, Paris, France. 4. Paris-Diderot University, Paris, France.
Abstract
PURPOSE OF REVIEW: This review analyzes recent studies evaluating the diagnostic and therapeutic impacts of systematic extracardiac imaging techniques in patients with suspected or proven infective endocarditis. RECENT FINDINGS: Extracardiac imaging techniques are more and more frequently used to establish infective endocarditis (IE) diagnosis in doubtful situations. They also help in evaluating the risk-benefit balance of therapeutic strategies and particularly valvular surgery which is performed in approximately 50% of patients. Latest research underlines the high frequency of asymptomatic lesions found, and a different advantage-disadvantage profile for each of these techniques. Extracardiac imaging techniques are helpful in doubtful situations and may be considered in other situations. Their interest for improving patients' prognosis remains to be established.
PURPOSE OF REVIEW: This review analyzes recent studies evaluating the diagnostic and therapeutic impacts of systematic extracardiac imaging techniques in patients with suspected or proven infective endocarditis. RECENT FINDINGS: Extracardiac imaging techniques are more and more frequently used to establish infective endocarditis (IE) diagnosis in doubtful situations. They also help in evaluating the risk-benefit balance of therapeutic strategies and particularly valvular surgery which is performed in approximately 50% of patients. Latest research underlines the high frequency of asymptomatic lesions found, and a different advantage-disadvantage profile for each of these techniques. Extracardiac imaging techniques are helpful in doubtful situations and may be considered in other situations. Their interest for improving patients' prognosis remains to be established.
Entities:
Keywords:
18F-FDG PET; Endocarditis; Imaging technique; Magnetic resonance imaging (MRI)
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