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Published on: September 5, 2017
Infection of Ventricular Assist Device Detected and Monitored by 18F-FDG PET/CT
Sébastien Dejust1, Renaud Guedec-Ghelfi, Estelle Blanc-Autrant
1From the *Unité de Médecine Nucléaire, Institut Jean Godinot, Reims; †Service de Médecine Nucléaire, and ‡Service de Transplantation Cardiaque Adulte, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson; and §Laboratoire de Biophysique, UFR de Médecine, and ∥CRESTIC Centre de Recherche en Sciences et Technologies de l'Information et de la Communication, Université de Reims-Champagne Ardenne, Reims, France.
Abstract:
We report a case of a 59-year-old man who presented with fever, sepsis, and left cervicothoracic cutaneous inflammation 13 months after implantation of Jarvik 2000 device. Device infection was suspected and F-FDG PET/CT showed an intense and homogeneous uptake along driveline cable. Bacteriological local sample showed Staphylococcus aureus. After adapted antibiotherapy, control F-FDG PET/CT displays treatment efficacy with no residual uptake in driveline. F-FDG PET/CT could be an important tool for early noninvasive detection of left ventricular assist device infection and monitoring antibiotherapy response.
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