Infection of ventricular assist device detected and monitored by 18F-FDG PET/CT

Sébastien Dejust 1 Renaud Guedec-Ghelfi 1 Estelle Blanc-Autrant 2 Yannick Lepers 3 David Morland 1, 4, 5
1 Département de Médecine Nucléaire, Institut Jean Godinot
2 Service de Médecine Nucléaire et Service de Transplantation Cardiaque Adulte, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson
3 Service de Transplantation Cardiaque Adulte, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson
4 Laboratoire de Biophysique, UFR de Médecine
5 CRESTIC - Centre de Recherche en Sciences et Technologies de l'Information et de la Communication - EA 3804
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 18F-FDG PET/CT showed an intense and homogeneous uptake along driveline cable. Bacteriological local sample showed Staphylococcus aureus. After adapted antibiotherapy, control 18F-FDG PET/CT displays treatment efficacy with no residual uptake in driveline. 18F-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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Submitted on : Monday, June 25, 2018 - 8:46:47 AM
Last modification on : Wednesday, August 29, 2018 - 1:12:01 PM

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Sébastien Dejust, Renaud Guedec-Ghelfi, Estelle Blanc-Autrant, Yannick Lepers, David Morland. Infection of ventricular assist device detected and monitored by 18F-FDG PET/CT. Clinical Nuclear Medicine, Lippincott, Williams & Wilkins, 2017, 42 (9), pp.695-696. ⟨hal-01822367⟩

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