High 18F-FDG Uptake in synthetic aortic vascular grafts on PET/CT in symptomatic and asymptomatic patients

Johan Wassélius, Jonas Malmstedt, Bo Kalin, Stig Larsson, Anders Sundin, Ulf Hedin, Hans Jacobsson

Research output: Contribution to journalArticlepeer-review

Abstract

UNLABELLED: Graft infection is a serious complication to vascular surgery. The aim of this study was to assess (18)F-FDG uptake in vascular grafts in patients with or without symptoms of graft infection.

METHODS: In all 2,045 patients examined by PET/CT at our clinic, 16 patients with synthetic aortic grafts were identified and reevaluated for (18)F-FDG accumulation. Clinical and biochemical data were obtained from patient records.

RESULTS: High (18)F-FDG uptake was found in 10 of 12 grafts in the patients who underwent open surgery and in 1 of 4 grafts in patients who underwent endovascular aneurysm repair. On the basis of biochemical and clinical data, it was concluded that 1 of the 16 patients had a graft infection at the time of investigation.

CONCLUSION: (18)F-FDG uptake in vascular grafts was found in the vast majority of patients without graft infection. The risk of a false-positive diagnosis of graft infection by (18)F-FDG PET/CT is evident.

Original languageEnglish
Pages (from-to)1601-5
Number of pages5
JournalJournal of Nuclear Medicine
Volume49
Issue number10
DOIs
Publication statusPublished - 2008 Oct
Externally publishedYes

Subject classification (UKÄ)

  • Radiology and Medical Imaging
  • Cardiology and Cardiovascular Disease

Free keywords

  • Aged
  • Aged, 80 and over
  • Aneurysm
  • Aorta
  • Aortic Aneurysm, Abdominal
  • Blood Vessel Prosthesis
  • Diagnostic Imaging
  • Female
  • Fluorodeoxyglucose F18
  • Humans
  • Male
  • Middle Aged
  • Positron-Emission Tomography
  • Radiopharmaceuticals
  • Tomography, X-Ray Computed
  • Journal Article
  • Research Support, Non-U.S. Gov't

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