Universität zu Köln

Paul, Gregor, Michels, Guido, Hohmann, Christopher, Pfister, Roman, Mader, Navid, Blanke, Lara, Ohler, Myriam, Piepenbrock, Ellen, Rybniker, Jan, Lehmann, Clara, Faetkenheuer, Gerd, Jaspers, Natalie and Jung, Norma (2020). CONTRAST-ENHANCED ULTRASOUND FOR THE DETECTION OF ABDOMINAL COMPLICATIONS IN INFECTIVE ENDOCARDITIS: FIRST EXPERIENCE FROM A PROSPECTIVE COHORT. Ultrasound Med. Biol., 46 (11). S. 2965 - 2972. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1879-291X

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Abstract

Embolic events are associated with increased mortality in patients with infective endocarditis (IE). The goal of this study was to gain experience with the application of contrast-enhanced ultrasound (CEUS) in IE to detect abdominal complications. CEUS was performed in 40 patients from a prospective register of IE. CEUS was able to detect abdominal embolic events or metastatic infection in 12 patients (30%). Most commonly seen were splenic infarctions (n = 10), followed by renal infarction (n = 2), liver abscess (n = 1) and mycotic aneurysm (n = 1). Six out of 14 lesions were only detected by CEUS and not by conventional ultrasound. Abdominal complications revealed by CEUS were associated with a detectable valve vegetation (p = 0.04) and larger vegetation size (p = 0.01). In three patients, a non-IE related abdominal lesion (two hepatocellular carcinomas, one psoas hematoma) was detected. CEUS is a feasible diagnostic method in detection of abdominal complications of IE. (E-mail: gregor.paul@uk-koeln.de) (C) 2020 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Paul, Gregor UNSPECIFIED UNSPECIFIED UNSPECIFIED Michels, Guido UNSPECIFIED UNSPECIFIED UNSPECIFIED Hohmann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, Roman UNSPECIFIED UNSPECIFIED UNSPECIFIED Mader, Navid UNSPECIFIED UNSPECIFIED UNSPECIFIED Blanke, Lara UNSPECIFIED UNSPECIFIED UNSPECIFIED Ohler, Myriam UNSPECIFIED UNSPECIFIED UNSPECIFIED Piepenbrock, Ellen UNSPECIFIED UNSPECIFIED UNSPECIFIED Rybniker, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehmann, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Faetkenheuer, Gerd UNSPECIFIED UNSPECIFIED UNSPECIFIED Jaspers, Natalie UNSPECIFIED UNSPECIFIED UNSPECIFIED Jung, Norma UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-313814
DOI:	10.1016/j.ultrasmedbio.2020.07.027
Journal or Publication Title:	Ultrasound Med. Biol.
Volume:	46
Number:	11
Page Range:	S. 2965 - 2972
Date:	2020
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1879-291X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CLINICAL DECISIONS; CEUS; GUIDELINES; LESIONS Multiple languages Acoustics; Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31381