Evidence map›Paper›PMID 30214859›Full record

ArticleCardiovascular diagnosis and therapy2018

Role of preoperative cardiac CT in the evaluation of infective endocarditis: comparison with transesophageal echocardiography and surgical findings.

Srikanth Koneru, Steven S Huang, Jorge Oldan, Jorge Betancor, Zoran B Popovic, L Leonardo Rodriguez, Nabin K Shrestha, Steven Gordon, Gosta Pettersson, Michael A Bolen

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular diagnosis and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.2field-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

22 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  5. Computed Tomography in Infectious Endocarditis.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Review
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  16. The role of cardiac imaging in the management of non-ischemic cardiovascular diseases in human immunodeficiency virus infection.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
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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

10 authors at 2 institutions in 1 country.

Srikanth KoneruDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
Steven S HuangDepartment of Diagnostic Radiology, Cleveland Clinic, Cleveland, USA.
Jorge OldanDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
Jorge BetancorDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
Zoran B PopovicDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
L Leonardo RodriguezDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
Nabin K ShresthaDepartment of Infectious Disease, Cleveland Clinic, Cleveland, USA.
Steven GordonDepartment of Infectious Disease, Cleveland Clinic, Cleveland, USA.
Gosta PetterssonDepartment of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, USA.
Michael A BolenDepartment of Diagnostic Radiology, Cleveland Clinic, Cleveland, USA.
Cleveland Clinic · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSignificant improvement of computed tomography (CT) technology in the last decade has led to more use of this modality for evaluating infective endocarditis (IE) especially since the introduction of high resolution electrocardiogram (ECG) synchronized multiphasic (4D) acquisition. While there are a number of reports on the accuracy and value of 4D CT for evaluation of IE, there is no published data regarding the performance of single-phase ECG gated CT for assessment of IE. The purpose of this study is to evaluate the sensitivity and specificity of preoperative single-phase ECG-gated CT imaging versus transesophageal echocardiography (TEE) in the assessment of complications related to IE, with comparison to surgical findings.

methodsAmong 899 patients with surgically proven IE in our database, 122 underwent contrast-enhanced ECG cardiac CT and were included in the study; 84 of these patients also underwent TEE.

resultsOverall, there was no significant difference between CT and TEE in the identification of pseudoaneurysm/abscess and dehiscence. For the detection of pseudoaneurysm/abscess in prosthetic valves, CT demonstrated higher sensitivity (81%

conclusionsPreoperative single-phase gated CT can be seen as complementary to TEE in assessing complications of suspected IE or may be substituted for TEE when vegetation or dehiscence is depicted on transthoracic echocardiography and the patient has a contraindication to TEE.

Indexed as

Computed tomography (CT)endocarditistransesophageal echocardiography (TEE)

Identifiers

PMID30214859
PMCPMC6129819
OpenAlexW2886047925

What OpenQuestion holds

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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.