42
Infectious Endocarditis
Figure
8.
Recommendations
for
Imaging
Studies
in
NVE
and
PVE
a
Repeat
TEE
and/or
TTE
recommended
for
re-evaluation
of
patients
with
IE
and
a
change
in
clinical
signs
or
symptoms
and
in
patients
at
high
risk
of
complications.
Blood
cultures
×
2
TEE
a
(I)
TEE
(IIa)
Cardiac
CT
(IIa)
TEE
(IIb)
Intraoperative
TEE
(I)
Nondiagnostic
TTE
Complications
present
or
suspected
Intracardiac
lead
present
S.
aureus
bacteremia
without
known
source
Prosthetic
valve
with
persistent
fever
Suspected
paravalvular
infection
with
inadequate
TTE/TEE
Nosocomial
S.
aureus
bacteremia
with
portal
of
entry
from
known
extracardiac
source
Undergoing
surgery
for
IE
TTE
Patient
at
Risk
or
With
Suspected
NVE
or
PVE
