Related Experiment Video

Updated: Jan 3, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

5.7K

Coronary angiography in the setting of acute infective endocarditis requiring surgical treatment

Clémence Laperche1, Olivier Lairez2, Jean Ferrieres3

  • 1Department of Cardiology, Rangueil University Hospital, 31059 Toulouse, France.

Archives of Cardiovascular Diseases
|November 18, 2019
PubMed

Insights

Preoperative coronary angiography in infective endocarditis patients is safe and provides crucial information for surgical planning. This diagnostic approach aids in identifying coronary artery disease, guiding treatment decisions, and improving patient outcomes.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infectious Diseases

Background:

  • International guidelines suggest preoperative coronary angiography for infective endocarditis patients needing surgery.
  • Potential risks include contrast-induced nephropathy and vegetation embolization, especially with aortic endocarditis.

Purpose of the Study:

  • To evaluate the safety and effectiveness of coronary angiography in patients with active infective endocarditis scheduled for surgery.
  • To assess its therapeutic implications and impact on patient prognosis.

Main Methods:

  • Retrospective monocentric study of 193 patients with active endocarditis and surgical indication (Jan 2013 - Feb 2017).
  • Coronary angiography performed in 142 patients (73.6%), primarily via radial approach (91.6%).
  • Coronary multislice computed tomography used in 14 patients.

Main Results:

  • 10.6% experienced acute renal failure; 1.4% had a stroke post-angiography; no complications in aortic endocarditis patients.
  • Surgery was performed on 178 patients (92.2%).
  • Significant coronary lesions found in 19.7%; 14.0% underwent coronary artery bypass grafting.

Conclusions:

  • Preoperative coronary angiography in infective endocarditis is safe.
  • It yields significant information for a substantial number of patients.
  • This procedure aids in surgical decision-making and management planning.
Abstract

Keywords:
ComplicationsCoronarographieCoronary angiographyEndocardite infectieuseInfective endocarditisSafetySécurité

More Related Videos

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease06:39

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

Published on: February 18, 2020

7.1K
Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors06:25

Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors

Published on: July 12, 2024

776

Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
182
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
344
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
176
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
282
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
188
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
665