Prosthetic valve infective endocarditis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adult patient (over 18 years old); - Patient with a prosthetic heart valve; - Patient suspected of infective endocarditis (on clinical and/or microbiological and/or imaging data); - Patient whose history is discussed in the multidisciplinary meeting dedicated to endocarditis; - Patient beneficiary of a social security scheme; - Free, informed and written consent signed by the participant and the investigator. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: - pregnant or breastfeeding women; - women of childbearing potential not using effective contraception; - patients referred to in articles L.1121-5 to L.1121-8 (persons deprived of liberty by judicial or administrative decision, minors, adults subject to a legal protection measure or unable to express their consent); - subject in a period of relative exclusion due to another protocol; - known contraindication to PET/CT with injection of radiotracers (hypersensitivity to radiopharmaceuticals and/or excipients).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Estimation of sensitivity of PET/CT with Gallium 68 citrate (68Ga-PET/CT) for the diagnosis of prosthetic valve infective endocarditis in patients suspected of infective endocarditis on prosthetic valve.;Secondary Objective: - Estimation of other diagnostic accuracy parameters of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve. - Estimation of the inter-observer reproducibility of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve. - Comparaison of the sensitivity and specificity of 68Ga-PET/CT to those of 18FDG-PET/CT for the diagnosis of infective endocarditis on prosthetic valve. - Estimation of the contribution of 68Ga-PET/CT in the extension assessment at the thoraco-abdomino-pelvic level. - Estimation of the contribution of 68Ga-PET/CT in the search for the portal of entry.;Primary end point(s): Sensitivity of 68Ga-PET/CT for the diagnosis of prosthetic valve infective endocarditis in patients suspected of infective endocarditis on prosthetic valve. ;Timepoint(s) of evaluation of this end point: 3 months after baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Specificity, positive and negative predictive values of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve. - Cohen’s kappa for inter-observer reproducibility of 68Ga-PET/CT for the diagnosis of infective endocarditis on prosthetic valve in patients suspected of infective endocarditis on prosthetic valve - Sensitivity, specificity and positive and negative predictive values of 18FDG-PET/CT for the diagnosis of infective endocarditis on prosthetic valve. - Discrepancies between 68Ga-PET/CT and 18FDG-PET/CT for the evaluation of the spread of infection assessment and the search for the initial portal of pathogen entry.;Timepoint(s) of evaluation of this end point: 3 months after baseline | — |
Countries
France
Contacts
CHU DE BORDEAUX