Skip to main content
Top
Published in: Journal of Nuclear Cardiology 4/2020

01-08-2020 | Cardiomyopathy | Editorial

99mTc-aprotinin imaging in cardiac amyloidosis. Make an old tool new again?

Authors: Riemer H. J. A. Slart, MD, PhD, Andor W. J. M. Glaudemans, MD, PhD, Walter Noordzij, MD, PhD, Hans L. A. Nienhuis, MD, PhD, Bouke P. C. Hazenberg, MD, PhD

Published in: Journal of Nuclear Cardiology | Issue 4/2020

Login to get access

Excerpt

Cardiac amyloidosis (CA) or amyloid cardiomyopathy (ACM), resulting from extracellular deposition of amyloid fibrils, is an underestimated cause of heart failure and cardiac arrhythmias.1,2 Amyloid cardiomyopathy is a restrictive form of cardiomyopathy (CM) characterized by diastolic dysfunction and should be suspected in any patient presented with heart failure with preserved ejection fraction (HFpEF). The two main types of cardiac amyloidosis are AL-type, derived from misfolded immunoglobulin light chains, and ATTR-type, derived from misfolded transthyretin (TTR) protein. …
Literature
1.
go back to reference Maurer MS, Elliott P, Comenzo R, Semigran M, Rapezzi C. Addressing common questions encountered in the diagnosis and management of cardiac amyloidosis. Circulation 2017;135:1357-77.CrossRef Maurer MS, Elliott P, Comenzo R, Semigran M, Rapezzi C. Addressing common questions encountered in the diagnosis and management of cardiac amyloidosis. Circulation 2017;135:1357-77.CrossRef
2.
go back to reference Gonzalez-Lopez E, Gallego-Delgado M, Guzzo-Merello G, de Haro-Del Moral FJ, Cobo-Marcos M, Robles C, et al. Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Eur Heart J 2015;36:2585-94.CrossRef Gonzalez-Lopez E, Gallego-Delgado M, Guzzo-Merello G, de Haro-Del Moral FJ, Cobo-Marcos M, Robles C, et al. Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Eur Heart J 2015;36:2585-94.CrossRef
3.
go back to reference Maleszewski JJ. Cardiac amyloidosis: Pathology, nomenclature, and typing. Cardiovasc Pathol 2015;24:343-50.CrossRef Maleszewski JJ. Cardiac amyloidosis: Pathology, nomenclature, and typing. Cardiovasc Pathol 2015;24:343-50.CrossRef
4.
go back to reference Manolis AS, Manolis AA, Manolis TA, Melita H. Cardiac amyloidosis: An underdiagnosed/underappreciated disease. Eur J Intern Med 2019;67:1-13.CrossRef Manolis AS, Manolis AA, Manolis TA, Melita H. Cardiac amyloidosis: An underdiagnosed/underappreciated disease. Eur J Intern Med 2019;67:1-13.CrossRef
5.
go back to reference Lane T, Fontana M, Martinez-Naharro A, Quarta CC, Whelan CJ, Petrie A, et al. Natural history, quality of life, and outcome in cardiac transthyretin amyloidosis. Circulation 2019;140:16-26.CrossRef Lane T, Fontana M, Martinez-Naharro A, Quarta CC, Whelan CJ, Petrie A, et al. Natural history, quality of life, and outcome in cardiac transthyretin amyloidosis. Circulation 2019;140:16-26.CrossRef
6.
go back to reference Slart RHJA, Glaudemans AWJM, Noordzij W, Bijzet J, Hazenberg BPC, Nienhuis HLA. Time for new imaging and therapeutic approaches in cardiac amyloidosis. Eur J Nucl Med Mol Imaging 2019;46(7):1402-6.CrossRef Slart RHJA, Glaudemans AWJM, Noordzij W, Bijzet J, Hazenberg BPC, Nienhuis HLA. Time for new imaging and therapeutic approaches in cardiac amyloidosis. Eur J Nucl Med Mol Imaging 2019;46(7):1402-6.CrossRef
7.
go back to reference Aprile C, Marinone G, Saponaro R, Bonino C, Merlini G. Cardiac and pleuropulmonary AL amyloid imaging with technetium-99m labelled aprotinin. Eur J Nucl Med 1995;22:1393-401.CrossRef Aprile C, Marinone G, Saponaro R, Bonino C, Merlini G. Cardiac and pleuropulmonary AL amyloid imaging with technetium-99m labelled aprotinin. Eur J Nucl Med 1995;22:1393-401.CrossRef
8.
go back to reference Han S, Chong V, Murray T, McDonagh T, Hunter J, Poon FW, Gray HW, Neilly JB. Preliminary experience of 99mTc-Aprotinin scintigraphy in amyloidosis. Eur J Haematol 2007;79:494-500.CrossRef Han S, Chong V, Murray T, McDonagh T, Hunter J, Poon FW, Gray HW, Neilly JB. Preliminary experience of 99mTc-Aprotinin scintigraphy in amyloidosis. Eur J Haematol 2007;79:494-500.CrossRef
9.
go back to reference Cardoso I, Pereira PJ, Damas AM, Saraiva MJ. Aprotinin binding to amyloid fibrils. Eur J Biochem 2000;267:2307-11.CrossRef Cardoso I, Pereira PJ, Damas AM, Saraiva MJ. Aprotinin binding to amyloid fibrils. Eur J Biochem 2000;267:2307-11.CrossRef
10.
go back to reference Gölker CF, Whiteman MD, Gugel KH, Gilles R, Stadler P, Kovatch RM, et al. Reduction of the infectivity of scrapie agent as a model for BSE in the manufacturing process of Trasylol. Biologicals 1996;24:103-11.CrossRef Gölker CF, Whiteman MD, Gugel KH, Gilles R, Stadler P, Kovatch RM, et al. Reduction of the infectivity of scrapie agent as a model for BSE in the manufacturing process of Trasylol. Biologicals 1996;24:103-11.CrossRef
11.
go back to reference Awaya T, Minamimoto R, Iwama K, Kubota S, Hotta M, Hirai R, Yamamoto M1, Okazaki O1, Hara H, Hiroi Y, Hiroe M, Moroi M, Performance of 99mTc-aprotinin scintigraphy for diagnosing light chain (AL) cardiac amyloidosis confirmed by endomyocardial biopsy. J Nucl Cardiol 2019. Awaya T, Minamimoto R, Iwama K, Kubota S, Hotta M, Hirai R, Yamamoto M1, Okazaki O1, Hara H, Hiroi Y, Hiroe M, Moroi M, Performance of 99mTc-aprotinin scintigraphy for diagnosing light chain (AL) cardiac amyloidosis confirmed by endomyocardial biopsy. J Nucl Cardiol 2019.
13.
go back to reference Antoni G, Lubberink M, Estrada S, et al. In vivo visualization of amyloid deposits in the heart with 11C-PIB and PET. J Nucl Med 2013;54:213-20.CrossRef Antoni G, Lubberink M, Estrada S, et al. In vivo visualization of amyloid deposits in the heart with 11C-PIB and PET. J Nucl Med 2013;54:213-20.CrossRef
16.
go back to reference Skinner M, Sanchorawala V, Seldin DC, Dember LM, Falk RH, Berk JL, et al. High-dose melphalan and autologous stem-cell transplantation in patients with AL amyloidosis: An 8-year study. Ann Intern Med 2004;140:85-93.CrossRef Skinner M, Sanchorawala V, Seldin DC, Dember LM, Falk RH, Berk JL, et al. High-dose melphalan and autologous stem-cell transplantation in patients with AL amyloidosis: An 8-year study. Ann Intern Med 2004;140:85-93.CrossRef
17.
go back to reference Manwani R, Page J, Lane T, Burniston M, Skillen A, Lachmann HJ, et al. A pilot study demonstrating cardiac uptake with 18F-florbetapir PET in AL amyloidosis patients with cardiac involvement. Amyloid 2018;25:247-52.CrossRef Manwani R, Page J, Lane T, Burniston M, Skillen A, Lachmann HJ, et al. A pilot study demonstrating cardiac uptake with 18F-florbetapir PET in AL amyloidosis patients with cardiac involvement. Amyloid 2018;25:247-52.CrossRef
Metadata
Title
99mTc-aprotinin imaging in cardiac amyloidosis. Make an old tool new again?
Authors
Riemer H. J. A. Slart, MD, PhD
Andor W. J. M. Glaudemans, MD, PhD
Walter Noordzij, MD, PhD
Hans L. A. Nienhuis, MD, PhD
Bouke P. C. Hazenberg, MD, PhD
Publication date
01-08-2020
Publisher
Springer International Publishing
Published in
Journal of Nuclear Cardiology / Issue 4/2020
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI
https://doi.org/10.1007/s12350-019-01917-3

Other articles of this Issue 4/2020

Journal of Nuclear Cardiology 4/2020 Go to the issue