SUPERIOR ACCURACY OF ANATOMIC POSITIONING WITH ECHOCARDIOGRAPHIC-GUIDED OVER FLUOROSCOPIC-GUIDED ENDOMYOCARDIAL BIOPSY

被引:13
作者
BELL, CA [1 ]
KERN, MJ [1 ]
AGUIRRE, FV [1 ]
DONOHUE, T [1 ]
BACH, R [1 ]
WOLFORD, T [1 ]
PENICK, D [1 ]
OFILI, E [1 ]
MILLER, L [1 ]
LABOVITZ, AJ [1 ]
机构
[1] ST LOUIS UNIV HOSP,DEPT INTERNAL MED,DIV CARDIOL,JG MUDD CARDIAC CATHETERIZAT LAB,ST LOUIS,MO 63110
来源
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS | 1993年 / 28卷 / 04期
关键词
BIOPTOME PLACEMENT; SEPTUM; FEMORAL VEIN; PERFORATION; TAMPONADE; ORTHOTOPIC CARDIAC TRANSPLANTATION;
D O I
10.1002/ccd.1810280405
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To assess the superior anatomic positioning of echocardiographic-guided endomyocardial biopsy compared to traditional fluoroscopic-guided technique, these two modalities were compared in a blinded fashion during femoral sheath endomyocardial biopsy in 21 patients, 19 being evaluated after orthotopic cardiac transplantation. The simultaneous fluoroscopic and echocardiographic imaging indicated that traditional fluoroscopic positioning of the bioptome against the septum is inaccurate in over half of patients undergoing biopsy. This finding should be considered in cardiomyopathy patients or those at high risk for biopsy-related complications.
引用
收藏
页码:291 / 294
页数:4
相关论文
共 9 条
[1]   THE FEMORAL VENOUS APPROACH TO ENDOMYOCARDIAL BIOPSY - COMPARISON WITH INTERNAL JUGULAR AND TRANSARTERIAL APPROACHES [J].
ANDERSON, JL ;
MARSHALL, HW .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (06) :833-837
[2]  
CAVES PK, 1974, LANCET, V1, P821
[3]   PERCUTANEOUS TRANSVENOUS ENDOMYOCARDIAL BIOPSY [J].
CAVES, PK ;
STINSON, EB ;
GRAHAM, AF ;
BILLINGHAM, ME ;
GREHL, TM ;
SHUMWAY, NE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1973, 225 (03) :288-291
[4]   COMPLICATIONS OF TRANSVENOUS RIGHT VENTRICULAR ENDOMYOCARDIAL BIOPSY IN ADULT PATIENTS WITH CARDIOMYOPATHY - A 7-YEAR SURVEY OF 546 CONSECUTIVE DIAGNOSTIC PROCEDURES IN A TERTIARY REFERRAL CENTER [J].
DECKERS, JW ;
HARE, JM ;
BAUGHMAN, KL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 19 (01) :43-47
[5]  
Grossman W, 1991, CARDIAC CATHETERIZAT
[6]  
HOSENPUD JD, 1991, CARDIAC TRANSPLANTAT
[7]   TECHNIQUES FOR RIGHT AND LEFT-VENTRICULAR ENDOMYOCARDIAL BIOPSY [J].
MASON, JW .
AMERICAN JOURNAL OF CARDIOLOGY, 1978, 41 (05) :887-892
[8]  
MILLER LW, 1988, CIRCULATION, V78, P99
[9]  
PEDERSON WR, 1991, CHEST, V100, pS21