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July 5, 2017Expert Review of Medical Devices

Endomyocardial biopsy guided by three-dimensional electroanatomical mapping systems and intracardiac echo significantly improves diagnostic yield and reduces complications.

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Why the study?

Does the combined use of three-dimensional electroanatomical mapping systems and intracardiac echo improve diagnostic yield and reduce complications compared to classical fluoroscopy-guided endomyocardial biopsy?

Population

Patients undergoing endomyocardial biopsy, particularly for unexplained ventricular arrhythmias…

Comparison

Endomyocardial biopsy guided by… vs Classical fluoroscopy-guided endomyocardial biopsy

Design

Review

Key result

Endomyocardial biopsy guided by three-dimensional electroanatomical mapping systems and intracardiac echo significantly improves diagnostic yield and reduces complications.

Authors

MCMichela CasellaARAntonio Dello RussoGVGiulia Vettor

Discussion

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Member takes

Overview

May support 3D EAM/ICE-guided EMB in experienced centers; hypothesis-generating pending prospective RCTs.

Structured PICO

Does the combined use of three-dimensional electroanatomical mapping systems and intracardiac echo improve diagnostic yield and reduce complications compared to classical fluoroscopy-guided endomyocardial biopsy?

P
Population
Patients undergoing endomyocardial biopsy, particularly for unexplained ventricular arrhythmias, arrhythmogenic cardiomyopathy, myocarditis, cardiac sarcoidosis, or drug toxicity
I
Intervention
Endomyocardial biopsy guided by three-dimensional electroanatomical mapping systems and intracardiac echo
C
Comparator
Classical fluoroscopy-guided endomyocardial biopsy
O
Outcome
Diagnostic yield and complications

The integration of 3D electroanatomical mapping and intracardiac echo for endomyocardial biopsy improves diagnostic yield and safety compared to traditional fluoroscopy.

Cite This Study

Casella et al. (2017) conducted a review in Unexplained ventricular arrhythmias. Electroanatomical mapping systems and intracardiac echo guided endomyocardial biopsy vs. Fluoroscopy-guided endomyocardial biopsy was evaluated. Endomyocardial biopsy guided by three-dimensional electroanatomical mapping systems and intracardiac echo significantly improves diagnostic yield and reduces complications.

synapsesocial.com/papers/6a1bfe1569a4af5b15a93cd7https://doi.org/10.1080/17434440.2017.1351875
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