Evidence map›Paper›PMID 29450741›Full record

ArticleThe international journal of cardiovascular imaging2018

Utility of cardiac computed tomography scanning in the diagnosis and pre-operative evaluation of patients with infective endocarditis.

Jason R Sims, Nandan S Anavekar, Krishnaswamy Chandrasekaran, James M Steckelberg, Walter R Wilson, Bernard J Gersh, Larry M Baddour, Daniel C DeSimone

Abstract read
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In one paragraph

Article in The international journal of cardiovascular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 40 citations in OpenAlex.

  1. Indirect-Oscillation Sign Suggesting Infective Endocarditis on the Routine Chest CT.Journal of cardiovascular development and disease · 2024
    Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Aortic regurgitation: A multimodality approach.Journal of clinical ultrasound : JCU · 2022
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Cardiovascular imaging 2018 in the International Journal of Cardiovascular Imaging.The international journal of cardiovascular imaging · 2019
    Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jason R SimsDepartment of Internal Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. Sims.Jason@mayo.edu.
Nandan S AnavekarDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Krishnaswamy ChandrasekaranDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
James M SteckelbergDivision of Infectious Diseases, Mayo Clinic, Rochester, MN, USA.
Walter R WilsonDivision of Infectious Diseases, Mayo Clinic, Rochester, MN, USA.
Bernard J GershDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Larry M BaddourDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Daniel C DeSimoneDivision of Infectious Diseases, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transesophageal echocardiography (TEE) is the gold standard imaging study used in the diagnosis of infective endocarditis (IE). Computed tomography angiography (CTA) has undergone rapid advancement as a cardiac imaging technique and has previously shown promise in small non-randomized studies for evaluation of IE. We hypothesized that cardiac CTA would perform similarly to TEE in the detection of endocarditic lesions and that there would be no difference in clinical outcomes whether the coronary arteries were evaluated by CTA or invasive coronary angiography (ICA). 255 adults who underwent surgery for IE at the Mayo Clinic Rochester between January 1, 2006 and June 1, 2014 were identified retrospectively. 251 patients underwent TEE and 34 patients underwent cardiac CTA. TEE had statistically higher detection of vegetations (95.6 vs. 70.0%, p < 0.0001) and leaflet perforations (81.3 vs. 42.9%, p = 0.02) as compared to cardiac CTA. For detection of abscess/pseudoaneurysm TEE had a similar sensitivity to cardiac CTA (90.5 vs. 78.4%, p = 0.21). There was no significant difference in peri-operative outcomes whether coronary arteries were evaluated by CTA or ICA. The greatest advantage of cardiac CT in the setting of IE is its ability to couple the detection of complex cardiac anatomic abnormalities with coronary artery delineation, serving two important components of the diagnostic evaluation, particularly among patients who will require surgical intervention due to IE complications. Cardiac CTA may be considered as an alternate coronary artery imaging modality in IE patients with low to intermediate risk of disease but meet guideline recommendations for coronary artery imaging.

Indexed as

Computed Tomography AngiographyEchocardiography, TransesophagealCoronary AngiographyCoronary Artery DiseaseEndocarditis, BacterialFemaleHumansMaleMiddle AgedPreoperative CareRetrospective StudiesCardiac CTCoronary artery diseaseInfective endocarditisPre-operative evaluationValvular heart disease

Identifiers

PMID29450741
OpenAlexW2794389378

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.