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Impact of F-18 FDG PET-CT for the Diagnosis and Management of Infection in JARVIK 2000 Device

Costo, Sylvie, MD*; Hourna, Eurydice, MD; Massetti, Massimo, MD, PhD; Belin, Annette, MD; Bouvard, Gérard, MD, PhD*; Agostini, Denis, MD, PhD*

doi: 10.1097/RLU.0b013e31821a29d7
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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.

From the *Nuclear Medicine Department, †Radiology Department, and ‡Cardiovascular and Thoracic Surgery Department, CHU Côte de Nacre, Caen, France.

Received for publication January 20, 2011; revision accepted February 20, 2011.

Conflicts of interest and sources of funding: none declared.

Reprints: Sylvie Costo, MD, CHU Caen, Nuclear Medicine Department, CHU Côte de Nacre, 14 033 Caen Cedex 9, France. E-mail: sylvie.costo@gmail.com.

Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.