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Infectious endocarditis is a serious pathology with difficult diagnosis especially on prosthetic valves or cardiac device because of the plurality of clinical presentations and the low sensitivity value of echocardiography in these patients. Despite a well validated indication for the detection of septic emboli, the value of FDG-PET for the detection of prosthetic valves or cardiac implantable device is still unclear especially because of frequent non-septic inflammatory processes.
To improve the specificity value, the use of radio-labeled leukocytes scintigraphy is conventionally proposed. An alternative method is to label leukocytes in vivo with an anti-murin anti body fragment ( Sulesomab , Leukoscan®). This scintigraphy is regularly used in the investigation of osteomyelitis and has been proposed in infectious endocarditis. To knowledge of investigators, the value of Leukoscan® scintigraphy on prosthetic valve or cardiac device infection had not been studied.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 99mTc-Leukoscan® scintigraphy | Experimental | Patients presenting a suspicions of infectious endocarditis on surgical materials and undergoing the 99mTc-Leukoscan® scintigraphy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 99mTc-Leukoscan® scintigraphy | Drug | Gated single photon emission computed tomography with co-registered computer tomography (gated SPECT-CT) 6 hours and 24 hours after infusion of 99mTc-Leukoscan (1000 MBq) |
| Measure | Description | Time Frame |
|---|---|---|
| Presence or not of infectious endocarditis on surgical materials | The presence or not of infectious endocarditis on surgical materials will be measured using Duke's criteria of patients follow-up at 3 months (plus or minus 1 month). | 3 months (plus or minus 1 month) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bastien GREGOIRE, MD | Contact | 472357629 | +33 | bastien.gregoire@chu-lyon.fr |
| Nawele BOUBLAY | Contact | 427856302 | +33 | nawele.boublay@chu-lyon.fr |
| Name | Affiliation | Role |
|---|---|---|
| Bastien GREGOIRE, MD | Hospices Civils de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospices Civils de Lyon | Recruiting | Bron | 69500 | France |
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| ID | Term |
|---|---|
| D004696 | Endocarditis |
| D004698 | Endocarditis, Subacute Bacterial |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D004697 | Endocarditis, Bacterial |
| D001424 | Bacterial Infections |
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| D001423 |
| Bacterial Infections and Mycoses |
| D007239 | Infections |
| D013290 | Streptococcal Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D053821 | Cardiovascular Infections |