Fifteen months after implantation of a Jarvik 2000 left ventricle assistance device, a 60-year-old man developed infection at the percutaneous retroauricular skull-mounted pedestal. PET/CT demonstrated hypermetabolism in the left cutaneous retroauricular pedestal, on the thoracic internal cable, and in the left lung. A second F-18 FDG PET/CT performed after 3 months of antibiotic treatment showed minimal residual hypermetabolism around the proximal and cervical internal cable. The pedestal was then replaced and a third PET/CT scan 3 months after the completion of antibiotic treatment was entirely normal. F-18 FDG PET/CT scan may be useful for monitoring infection in patients with left ventricle assistance device.
Costo, S., Hourna, E., Massetti, M., Belin, A., Bouvard, G., Agostini, D., Impact of F-18 FDG PET-CT for the diagnosis and management of infection in JARVIK 2000 device., <<CLINICAL NUCLEAR MEDICINE>>, 2011; (Dicembre): 188-191 [http://hdl.handle.net/10807/7364]
Impact of F-18 FDG PET-CT for the diagnosis and management of infection in JARVIK 2000 device.
Massetti, Massimo;
2011
Abstract
Fifteen months after implantation of a Jarvik 2000 left ventricle assistance device, a 60-year-old man developed infection at the percutaneous retroauricular skull-mounted pedestal. PET/CT demonstrated hypermetabolism in the left cutaneous retroauricular pedestal, on the thoracic internal cable, and in the left lung. A second F-18 FDG PET/CT performed after 3 months of antibiotic treatment showed minimal residual hypermetabolism around the proximal and cervical internal cable. The pedestal was then replaced and a third PET/CT scan 3 months after the completion of antibiotic treatment was entirely normal. F-18 FDG PET/CT scan may be useful for monitoring infection in patients with left ventricle assistance device.
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