Contrast-Enhanced Ultrasound for the Detection of Abdominal Complications in Infective Endocarditis: First Experience From a Prospective Cohort
Embolic events are associated with increased mortality in patients with infective endocarditis (IE). The goal of this study was to gain experience with the application of contrast-enhanced ultrasound (CEUS) in IE to detect abdominal complications. CEUS was performed in 40 patients from a prospective...
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| Veröffentlicht in: | Ultrasound in medicine & biology 2020-11, Vol.46 (11), p.2965-2971 |
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| creator | Paul, Gregor Michels, Guido Hohmann, Christopher Pfister, Roman Mader, Navid Blanke, Lara Ohler, Myriam Piepenbrock, Ellen Rybniker, Jan Lehmann, Clara Fätkenheuer, Gerd Jaspers, Natalie Jung, Norma |
| description | Embolic events are associated with increased mortality in patients with infective endocarditis (IE). The goal of this study was to gain experience with the application of contrast-enhanced ultrasound (CEUS) in IE to detect abdominal complications. CEUS was performed in 40 patients from a prospective register of IE. CEUS was able to detect abdominal embolic events or metastatic infection in 12 patients (30%). Most commonly seen were splenic infarctions (n = 10), followed by renal infarction (n = 2), liver abscess (n = 1) and mycotic aneurysm (n = 1). Six out of 14 lesions were only detected by CEUS and not by conventional ultrasound. Abdominal complications revealed by CEUS were associated with a detectable valve vegetation (p = 0.04) and larger vegetation size (p = 0.01). In three patients, a non-IE related abdominal lesion (two hepatocellular carcinomas, one psoas hematoma) was detected. CEUS is a feasible diagnostic method in detection of abdominal complications of IE. |
| doi_str_mv | 10.1016/j.ultrasmedbio.2020.07.027 |
| format | Article |
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The goal of this study was to gain experience with the application of contrast-enhanced ultrasound (CEUS) in IE to detect abdominal complications. CEUS was performed in 40 patients from a prospective register of IE. CEUS was able to detect abdominal embolic events or metastatic infection in 12 patients (30%). Most commonly seen were splenic infarctions (n = 10), followed by renal infarction (n = 2), liver abscess (n = 1) and mycotic aneurysm (n = 1). Six out of 14 lesions were only detected by CEUS and not by conventional ultrasound. Abdominal complications revealed by CEUS were associated with a detectable valve vegetation (p = 0.04) and larger vegetation size (p = 0.01). In three patients, a non-IE related abdominal lesion (two hepatocellular carcinomas, one psoas hematoma) was detected. 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The goal of this study was to gain experience with the application of contrast-enhanced ultrasound (CEUS) in IE to detect abdominal complications. CEUS was performed in 40 patients from a prospective register of IE. CEUS was able to detect abdominal embolic events or metastatic infection in 12 patients (30%). Most commonly seen were splenic infarctions (n = 10), followed by renal infarction (n = 2), liver abscess (n = 1) and mycotic aneurysm (n = 1). Six out of 14 lesions were only detected by CEUS and not by conventional ultrasound. Abdominal complications revealed by CEUS were associated with a detectable valve vegetation (p = 0.04) and larger vegetation size (p = 0.01). In three patients, a non-IE related abdominal lesion (two hepatocellular carcinomas, one psoas hematoma) was detected. CEUS is a feasible diagnostic method in detection of abdominal complications of IE.</description><subject>Contrast-enhanced ultrasound</subject><subject>Duke classification</subject><subject>Embolism</subject><subject>Infective endocarditis</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqNkc1u1DAUhS0EokPhFZDFik3CtTP5665KZ6BSJVhQiZ3l2NcajxI72E4FT9FXbtIZEEtWXtzvnON7DyEfGOQMWPXpmM9DCjKOqHvrcw4ccqhz4PULsmFN3Wa8ZT9ekg0UwLKy4u0FeRPjEQDqqqhfk4uCNxUrodiQx8671StlO3eQTqGm98_mfnaaGh9oOiC9wYQqWe-oN_S61360Tg608-M0WCXXSaTW0VtnVu4B6c5pr2TQNtl4Rfc2xER3vyYMFpcQug9-pJJ-Cz5OZ0XnDz6kt-SVkUPEd-f3ktzvd9-7L9nd18-33fVdpooGUlYCtr2u6pJXiBoqLOotN9hC2TeqUZqptjcGjUStSs1VryQY1aOpt9hXWBaX5OPJdwr-54wxidFGhcMgHfo5Cr4tmrZl25It6NUJVctvY0AjpmBHGX4LBmItRBzFv4WItRABtVgKWcTvzzlzv4z_Sv80sAA3JwCXbR8sBhHV8420DctlhPb2f3KeAIj6qMY</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Paul, Gregor</creator><creator>Michels, Guido</creator><creator>Hohmann, Christopher</creator><creator>Pfister, Roman</creator><creator>Mader, Navid</creator><creator>Blanke, Lara</creator><creator>Ohler, Myriam</creator><creator>Piepenbrock, Ellen</creator><creator>Rybniker, Jan</creator><creator>Lehmann, Clara</creator><creator>Fätkenheuer, Gerd</creator><creator>Jaspers, Natalie</creator><creator>Jung, Norma</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>Contrast-Enhanced Ultrasound for the Detection of Abdominal Complications in Infective Endocarditis: First Experience From a Prospective Cohort</title><author>Paul, Gregor ; Michels, Guido ; Hohmann, Christopher ; Pfister, Roman ; Mader, Navid ; Blanke, Lara ; Ohler, Myriam ; Piepenbrock, Ellen ; Rybniker, Jan ; Lehmann, Clara ; Fätkenheuer, Gerd ; Jaspers, Natalie ; Jung, Norma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-50e9bd67526eed06e3742fe905b8c8cd1c9bffefaedc5d2cbca0fcbef74eb6e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Contrast-enhanced ultrasound</topic><topic>Duke classification</topic><topic>Embolism</topic><topic>Infective endocarditis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paul, Gregor</creatorcontrib><creatorcontrib>Michels, Guido</creatorcontrib><creatorcontrib>Hohmann, Christopher</creatorcontrib><creatorcontrib>Pfister, Roman</creatorcontrib><creatorcontrib>Mader, Navid</creatorcontrib><creatorcontrib>Blanke, Lara</creatorcontrib><creatorcontrib>Ohler, Myriam</creatorcontrib><creatorcontrib>Piepenbrock, Ellen</creatorcontrib><creatorcontrib>Rybniker, Jan</creatorcontrib><creatorcontrib>Lehmann, Clara</creatorcontrib><creatorcontrib>Fätkenheuer, Gerd</creatorcontrib><creatorcontrib>Jaspers, Natalie</creatorcontrib><creatorcontrib>Jung, Norma</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paul, Gregor</au><au>Michels, Guido</au><au>Hohmann, Christopher</au><au>Pfister, Roman</au><au>Mader, Navid</au><au>Blanke, Lara</au><au>Ohler, Myriam</au><au>Piepenbrock, Ellen</au><au>Rybniker, Jan</au><au>Lehmann, Clara</au><au>Fätkenheuer, Gerd</au><au>Jaspers, Natalie</au><au>Jung, Norma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contrast-Enhanced Ultrasound for the Detection of Abdominal Complications in Infective Endocarditis: First Experience From a Prospective Cohort</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2020-11</date><risdate>2020</risdate><volume>46</volume><issue>11</issue><spage>2965</spage><epage>2971</epage><pages>2965-2971</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Embolic events are associated with increased mortality in patients with infective endocarditis (IE). 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| subjects | Contrast-enhanced ultrasound Duke classification Embolism Infective endocarditis |
| title | Contrast-Enhanced Ultrasound for the Detection of Abdominal Complications in Infective Endocarditis: First Experience From a Prospective Cohort |
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