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Multimodality imaging in the diagnosis and management of prosthetic valve endocarditis:A contemporary narrative review

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World Journal of Cardiology 2021年第8期13卷 254-270页

作者： Saberio Lo Presti Tarec K Elajami Mohammad Zmaili Reza Reyaldeen Bo Xu Advanced Cardiac Imaging Fellows Sydell and Arnold Miller Family Heart Vascular and Thoracic Institute at Cleveland ClinicClevelandOH 44195United States Department of Cardiology Mount Sinai Medical CenterMiami BeachFL 33140United States Department of Internal Medicine Cleveland Clinic FoundationClevelandOH 44195United States Section of Cardiovascular Imaging in the Robert and Suzanne Tomsich Department of Cardiovascular MedicineSydell and Arnold Miller Family Heart Vascular and Thoracic Institute at Cleveland ClinicClevelandOH 44195United States

Infective endocarditis is one of the leading life-threatening infections around the *** the exponential growth in the field of transcatheter interventions and advances in specialized surgical techniques,the number of prosthetic valves and cardiac implantable devices has significantly *** has led to a steep rise in the number of cases of prosthetic valve endocarditis(PVE)comprising up to 30%of all *** guidelines rely on the use of the modified Duke criteria;however,the diagnostic sensitivity of the modified Duke criteria is reduced in the context of *** is in part attributed to prosthesis related artifact which greatly affects the ability of echocardiography to detect early infective changes related to PVE in certain *** has been increasing recognition of the roles of complementary imaging modalities and updates in international society *** diagnosis and treatment can prevent the devastating consequences of this *** modalities such as cardiac computed tomography and 18-fluorodeoxyglucose positron emission tomography/computed tomography are diagnostic tools that provide a complementary role to echocardiography in aiding diagnosis,pre-operative planning,and treatment decisionmaking process in these challenging *** the strengths and limitations of these adjuvant imaging modalities is crucial for the implementation of appropriate imaging modalities in clinical practice.

关键词： Prosthetic valve endocarditis Multimodality cardiac imaging echocardiography Cardiac computed tomography 18-fluorodeoxyglucose photon emission tomography/computed tomography

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