{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:28Z","timestamp":1787071108221,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Lead endocarditis (LE) is a serious complication of permanent trans-venous pacing. Localizing LE may be challenging with conventional imaging modalities. 2-deoxy-2-[fluorine-18] fluoro-D-glucose positron emission tomography\u2013computed tomography (FDG PET\/CT) has recently emerged as a promising tool in the diagnosis of LE particularly in cases with normal echocardiographic imaging findings and\/or negative blood culture. However, this technique is associated with some drawbacks. Knowledge of these drawbacks and correlating its limitations with other imaging modality is essential for the echocardiographer while evaluating such patient. We report a case where transesophageal echocardiography was complementary to FDG PET\/CT in the diagnosis and localization of vegetation over pacemaker leads during intraoperative period.<\/jats:p>","DOI":"10.4103\/aca.aca_9_19","type":"journal-article","created":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T07:18:01Z","timestamp":1613114281000},"page":"524-527","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative Transesophageal Echocardiography: A Complement to 18F-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography in Localizing Pacemaker Lead Endocarditis"],"prefix":"10.4103","volume":"23","author":[{"given":"Soumya","family":"Sarkar","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajarajan","family":"Ganesan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhupesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harkant","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cardiac Thoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajender","family":"Basher","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwani","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"R1-20250921","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1007\/s00259-014-2773-z","article-title":"Role of 18F-FDG PET\/CT in the diagnosis of infective endocarditis in patients with an implanted cardiac device: A prospective study","volume":"41","author":"Graziosi","year":"2014","journal-title":"Eur J Nucl Med Mol Imaging"},{"key":"R2-20250921","doi-asserted-by":"crossref","first-page":"534","DOI":"10.4330\/wjc.v8.i9.534","article-title":"Role of radionuclide imaging for diagnosis of device and prosthetic valve infections","volume":"8","author":"Sarrazin","year":"2016","journal-title":"World J Cardiol"},{"key":"R3-20250921","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.ahj.2003.06.005","article-title":"Increasing rates of cardiac device infection among medicare beneficiaries: 1990-1999","volume":"147","author":"Cabell","year":"2004","journal-title":"Am Heart J"},{"key":"R4-20250921","doi-asserted-by":"crossref","first-page":"2098","DOI":"10.1161\/01.CIR.95.8.2098","article-title":"Systemic infection related to endocarditis on pacemaker leads, clinical presentation and management","volume":"95","author":"Klug","year":"1997","journal-title":"Circulation"},{"key":"R5-20250921","first-page":"156","article-title":"PET\/CT imaging artifacts","volume":"33","author":"Sureshbabu","year":"2005","journal-title":"J Nucl Med Technol"},{"key":"R6-20250921","first-page":"658","article-title":"Increased 18F-FDG uptake in a model of inflammation: Concanavalin a mediated lymphocyte activation","volume":"43","author":"Ishimori","year":"2002","journal-title":"J Nucl Med"},{"key":"R7-20250921","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/S1473-3099(16)30141-4","article-title":"Diagnostic value of imaging in infective endocarditis: A systematic review","volume":"17","author":"Gomes","year":"2017","journal-title":"Lancet Infect Dis"},{"key":"R8-20250921","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC Guidelines for the management of infective endocarditis: The task force for the management of infective endocarditis of the European society of cardiology (ESC). 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