Value of Bone Scintiscan for Diagnosis of Arterial Prosthesis Infection: Preliminary Results
Diagnosis of arterial prosthetic infection is often difficult to confirm. Several cases of lower extremity hypertrophic osteoarthropathy (HOA) have been associated with arterial prosthetic infection. The presence of bone and joint abnormalities could constitute an early sign of HOA. The purpose of t...
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| Veröffentlicht in: | Annals of vascular surgery 2000-09, Vol.14 (5), p.484-489 |
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| creator | Lehalle, Bertrand Lercher, Marie Noëlle David, Nicolas Olivier, Pierre Fiévé, Gérard |
| description | Diagnosis of arterial prosthetic infection is often difficult to confirm. Several cases of lower extremity hypertrophic osteoarthropathy (HOA) have been associated with arterial prosthetic infection. The presence of bone and joint abnormalities could constitute an early sign of HOA. The purpose of this prospective study was to determine the diagnostic value of routine bone scintiscan in patients hospitalized for suspected arterial prosthesis infection. Between December 1995 and May 1997, 17 patients with suspected infection were admitted to our institution. All underwent bone scintiscan before surgical treatment. Presence or absence of infection was defined according to the criteria proposed by Yeager. During the same period, bone scintiscan was performed in a control group of 8 patients with arterial prostheses but no clinical or laboratory signs of infection. Scintiscans were studied to detect bone and joint abnormalities distal to the arterial prosthesis. The results of this preliminary study indicate that routine bone scintiscan can assist definitive diagnosis in patients with suspected arterial prosthesis infection. Demonstration of bone and joint abnormalities distal to a prosthesis appears to be a fairly sensitive and highly specific sign of infection. |
| doi_str_mv | 10.1007/s100169910088 |
| format | Article |
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Several cases of lower extremity hypertrophic osteoarthropathy (HOA) have been associated with arterial prosthetic infection. The presence of bone and joint abnormalities could constitute an early sign of HOA. The purpose of this prospective study was to determine the diagnostic value of routine bone scintiscan in patients hospitalized for suspected arterial prosthesis infection. Between December 1995 and May 1997, 17 patients with suspected infection were admitted to our institution. All underwent bone scintiscan before surgical treatment. Presence or absence of infection was defined according to the criteria proposed by Yeager. During the same period, bone scintiscan was performed in a control group of 8 patients with arterial prostheses but no clinical or laboratory signs of infection. Scintiscans were studied to detect bone and joint abnormalities distal to the arterial prosthesis. The results of this preliminary study indicate that routine bone scintiscan can assist definitive diagnosis in patients with suspected arterial prosthesis infection. Demonstration of bone and joint abnormalities distal to a prosthesis appears to be a fairly sensitive and highly specific sign of infection.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1007/s100169910088</identifier><identifier>PMID: 10990559</identifier><identifier>CODEN: AVSUEV</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Blood Vessel Prosthesis - adverse effects ; Female ; Humans ; Male ; Middle Aged ; Osteoarthropathy, Secondary Hypertrophic - diagnostic imaging ; Osteoarthropathy, Secondary Hypertrophic - etiology ; Prospective Studies ; Prosthesis-Related Infections - complications ; Radionuclide Imaging</subject><ispartof>Annals of vascular surgery, 2000-09, Vol.14 (5), p.484-489</ispartof><rights>2000 Annals of Vascular Surgery, Inc.</rights><rights>Copyright Annals of Vascular Surgery, Inc. 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Several cases of lower extremity hypertrophic osteoarthropathy (HOA) have been associated with arterial prosthetic infection. The presence of bone and joint abnormalities could constitute an early sign of HOA. The purpose of this prospective study was to determine the diagnostic value of routine bone scintiscan in patients hospitalized for suspected arterial prosthesis infection. Between December 1995 and May 1997, 17 patients with suspected infection were admitted to our institution. All underwent bone scintiscan before surgical treatment. Presence or absence of infection was defined according to the criteria proposed by Yeager. During the same period, bone scintiscan was performed in a control group of 8 patients with arterial prostheses but no clinical or laboratory signs of infection. Scintiscans were studied to detect bone and joint abnormalities distal to the arterial prosthesis. The results of this preliminary study indicate that routine bone scintiscan can assist definitive diagnosis in patients with suspected arterial prosthesis infection. Demonstration of bone and joint abnormalities distal to a prosthesis appears to be a fairly sensitive and highly specific sign of infection.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Vessel Prosthesis - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthropathy, Secondary Hypertrophic - diagnostic imaging</subject><subject>Osteoarthropathy, Secondary Hypertrophic - etiology</subject><subject>Prospective Studies</subject><subject>Prosthesis-Related Infections - complications</subject><subject>Radionuclide Imaging</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LHDEUx0OpuOvWY68y9NDbaDKbTBJv1t8gWNrqqRAyyRuNzCaazAj-933LeqiCl_fg8eHL-34I-croPqNUHhScrNUal1KfyJy1TNRCc_mZzKnStBZUtzOyU8oDgo3iapvMGNWaCqHn5O-tHSaoUl_9SBGq3y7EMRRnY9WnXJ0EexdTCWUNHOURcrBD9TOnMt7D-nwZe3BjSPEQrzCEVYg2v1S_oEzDWL6Qrd4OBXZf94LcnJ3-Ob6or67PL4-Prmq3bPlYg-q7jlHmuetVx733VgvqwAmvvPXaKW4tx4rcda1UijXUcWgaaaUUtFkuF-T7Jvcxp6cJymhW2AGGwUZIUzESWYkaEPz2DnxIU474m2kYFy0VmiJUbyCHPUuG3jzmsMJahlGzdm7eOEd-7zV06lbg_6M3khGQGwDQwXOAbIoLEB34kNGe8Sl8EP0Pm12ODQ</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>Lehalle, Bertrand</creator><creator>Lercher, Marie Noëlle</creator><creator>David, Nicolas</creator><creator>Olivier, Pierre</creator><creator>Fiévé, Gérard</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20000901</creationdate><title>Value of Bone Scintiscan for Diagnosis of Arterial Prosthesis Infection: Preliminary Results</title><author>Lehalle, Bertrand ; Lercher, Marie Noëlle ; David, Nicolas ; Olivier, Pierre ; Fiévé, Gérard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-e8fbb101d4cf8b4ddda950cec5d8dad9c84aa49914cb6788120c4e227a7750233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Vessel Prosthesis - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthropathy, Secondary Hypertrophic - diagnostic imaging</topic><topic>Osteoarthropathy, Secondary Hypertrophic - etiology</topic><topic>Prospective Studies</topic><topic>Prosthesis-Related Infections - complications</topic><topic>Radionuclide Imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lehalle, Bertrand</creatorcontrib><creatorcontrib>Lercher, Marie Noëlle</creatorcontrib><creatorcontrib>David, Nicolas</creatorcontrib><creatorcontrib>Olivier, Pierre</creatorcontrib><creatorcontrib>Fiévé, Gérard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lehalle, Bertrand</au><au>Lercher, Marie Noëlle</au><au>David, Nicolas</au><au>Olivier, Pierre</au><au>Fiévé, Gérard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Value of Bone Scintiscan for Diagnosis of Arterial Prosthesis Infection: Preliminary Results</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>14</volume><issue>5</issue><spage>484</spage><epage>489</epage><pages>484-489</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><coden>AVSUEV</coden><abstract>Diagnosis of arterial prosthetic infection is often difficult to confirm. Several cases of lower extremity hypertrophic osteoarthropathy (HOA) have been associated with arterial prosthetic infection. The presence of bone and joint abnormalities could constitute an early sign of HOA. The purpose of this prospective study was to determine the diagnostic value of routine bone scintiscan in patients hospitalized for suspected arterial prosthesis infection. Between December 1995 and May 1997, 17 patients with suspected infection were admitted to our institution. All underwent bone scintiscan before surgical treatment. Presence or absence of infection was defined according to the criteria proposed by Yeager. During the same period, bone scintiscan was performed in a control group of 8 patients with arterial prostheses but no clinical or laboratory signs of infection. Scintiscans were studied to detect bone and joint abnormalities distal to the arterial prosthesis. The results of this preliminary study indicate that routine bone scintiscan can assist definitive diagnosis in patients with suspected arterial prosthesis infection. Demonstration of bone and joint abnormalities distal to a prosthesis appears to be a fairly sensitive and highly specific sign of infection.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>10990559</pmid><doi>10.1007/s100169910088</doi><tpages>6</tpages></addata></record> |
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| ispartof | Annals of vascular surgery, 2000-09, Vol.14 (5), p.484-489 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Blood Vessel Prosthesis - adverse effects Female Humans Male Middle Aged Osteoarthropathy, Secondary Hypertrophic - diagnostic imaging Osteoarthropathy, Secondary Hypertrophic - etiology Prospective Studies Prosthesis-Related Infections - complications Radionuclide Imaging |
| title | Value of Bone Scintiscan for Diagnosis of Arterial Prosthesis Infection: Preliminary Results |
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