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Infection of Ventricular Assist Device Detected and Monitored by 18F-FDG PET/CT

Dejust, Sébastien MD*; Guedec-Ghelfi, Renaud MD*; Blanc-Autrant, Estelle MD; Lepers, Yannick MD; Morland, David MD, MSc*§∥

doi: 10.1097/RLU.0000000000001736
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We report a case of a 59-year-old man who presented with fever, sepsis, and left cervicothoracic cutaneous inflammation 13 months after implantation of Jarvik 2000 device. Device infection was suspected and 18F-FDG PET/CT showed an intense and homogeneous uptake along driveline cable. Bacteriological local sample showed Staphylococcus aureus. After adapted antibiotherapy, control 18F-FDG PET/CT displays treatment efficacy with no residual uptake in driveline. 18F-FDG PET/CT could be an important tool for early noninvasive detection of left ventricular assist device infection and monitoring antibiotherapy response.

From the *Unité de Médecine Nucléaire, Institut Jean Godinot, Reims; †Service de Médecine Nucléaire, and ‡Service de Transplantation Cardiaque Adulte, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson; and §Laboratoire de Biophysique, UFR de Médecine, and ∥CRESTIC Centre de Recherche en Sciences et Technologies de l’Information et de la Communication, Université de Reims-Champagne Ardenne, Reims, France.

Received for publication March 2, 2017; revision accepted May 8, 2017.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Sébastien Dejust, MD, Service de Médecine Nucléaire, Institut Jean Godinot, 1 Rue du Général Koenig, 51100 Reims, France. E-mail:

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