Superior accuracy of anatomic positioning with echocardiographic‐ over fluoroscopic‐guided endomyocardial biopsy

Calvin A. Bell, Morton J. Kern, Frank V. Aguirre, Thomas Donohue, Richard Bach, Thomas Wolford, Danny Penick, Elizabeth Ofili, Leslie Miller, Arthur J. Labovitz, Dennis Anthonis, Jan S.T. Vrain

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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. © 1993 Wiley‐Liss, Inc.

Original languageEnglish
Pages (from-to)291-294
Number of pages4
JournalCatheterization and cardiovascular diagnosis
Volume28
Issue number4
DOIs
StatePublished - Apr 1993
Externally publishedYes

Keywords

  • bioptome placement
  • femoral vein
  • orthotopic cardiac transplantation
  • perforation
  • septum
  • tamponade

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