title: Intracardiac echocardiography in the detection of pacemaker lead endocarditis.
abstract: At times, infection of pacemaker leads can be difficult to confirm even with transesophageal echocardiography. We describe a patient with pacemaker lead infection where the transesophageal echocardiogram was nondiagnostic, and intracardiac echocardiography made the diagnosis by demonstrating the vegetation on the pacemaker lead. This illustrates a potential role for intracardiac echocardiography in infective endocarditis when transesophageal echocardiography is nondiagnostic.
authors.affiliation: Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
authors.forename: Ajay
authors.initials: A
authors.lastname: Dalal
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Asirvatham
authors.forename: Krishnaswamy
authors.initials: K
authors.lastname: Chandrasekaran
authors.forename: James B
authors.initials: JB
authors.lastname: Seward
authors.forename: A Jamil
authors.initials: AJ
authors.lastname: Tajik
mesh_terms: D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000382:microbiology*; D012008:Recurrence; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000601:surgery