Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve-in-valve implantation

Cheuk Bong Ho; Niels G Vejlstrup; Ole De Backer; Lars Søndergaard

doi:10.1002/ccd.30694

Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve-in-valve implantation

Cheuk Bong Ho^*, Niels G Vejlstrup, Ole De Backer, Lars Søndergaard

^*Corresponding author for this work

Department of Cardiology

2 Citations (Scopus)

Abstract

A 70-year-old man with history of transcatheter aortic valve-in-valve implantation was admitted because of suspected infective endocarditis (IE). Transesophageal echocardiogram did not reveal any vegetations, as the metallic stent frames caused significant artifacts. Position emission tomography was also negative. Intracardiac echocardiogram (ICE) was performed retrogradely through the ascending aorta, which showed clear vegetations over the stent frame of the transcatheter heart valve. Endocarditis after transcatheter aortic valve implantation was not uncommon. With increasing use of valve-in-valve procedures, echocardiographic diagnosis of IE would be more challenging. This case demonstrated the advantage of ICE over conventional echocardiography in visualizing the neo-aortic valve complex for diagnosing IE.

Original language	English
Journal	Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
Volume	102
Issue number	1
Pages (from-to)	155-158
Number of pages	4
ISSN	1522-1946
DOIs	https://doi.org/10.1002/ccd.30694
Publication status	Published - Jul 2023

Keywords

Aged
Aortic Valve/diagnostic imaging
Echocardiography/adverse effects
Endocarditis, Bacterial/diagnostic imaging
Endocarditis/etiology
Humans
Male
Prosthesis-Related Infections/diagnostic imaging
Transcatheter Aortic Valve Replacement/adverse effects
Treatment Outcome
transcatheter aortic valve implantation
intracardiac echocardiography
TAVI
ICE
TAVR
valve-in-valve
endocarditis
IE

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10.1002/ccd.30694

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Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve-in-valve implantation. / Ho, Cheuk Bong ; Vejlstrup, Niels G ; De Backer, Ole et al.
In: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, Vol. 102, No. 1, 07.2023, p. 155-158.

Research output: Contribution to journal › Journal article › Research › peer-review

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title = "Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve-in-valve implantation",

abstract = "A 70-year-old man with history of transcatheter aortic valve-in-valve implantation was admitted because of suspected infective endocarditis (IE). Transesophageal echocardiogram did not reveal any vegetations, as the metallic stent frames caused significant artifacts. Position emission tomography was also negative. Intracardiac echocardiogram (ICE) was performed retrogradely through the ascending aorta, which showed clear vegetations over the stent frame of the transcatheter heart valve. Endocarditis after transcatheter aortic valve implantation was not uncommon. With increasing use of valve-in-valve procedures, echocardiographic diagnosis of IE would be more challenging. This case demonstrated the advantage of ICE over conventional echocardiography in visualizing the neo-aortic valve complex for diagnosing IE.",

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AB - A 70-year-old man with history of transcatheter aortic valve-in-valve implantation was admitted because of suspected infective endocarditis (IE). Transesophageal echocardiogram did not reveal any vegetations, as the metallic stent frames caused significant artifacts. Position emission tomography was also negative. Intracardiac echocardiogram (ICE) was performed retrogradely through the ascending aorta, which showed clear vegetations over the stent frame of the transcatheter heart valve. Endocarditis after transcatheter aortic valve implantation was not uncommon. With increasing use of valve-in-valve procedures, echocardiographic diagnosis of IE would be more challenging. This case demonstrated the advantage of ICE over conventional echocardiography in visualizing the neo-aortic valve complex for diagnosing IE.

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KW - intracardiac echocardiography

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KW - ICE

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IS - 1

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Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve-in-valve implantation

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Keywords

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