Why the study?
Does echocardiographic guidance improve safety in patients undergoing endomyocardial biopsy?
Does echocardiographic guidance improve safety in patients undergoing endomyocardial biopsy?
Echocardiographic guidance for endomyocardial biopsy is safe and effective, demonstrating a very low major complication rate of 0.4% and no procedure-related mortality.
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Supports echocardiographic guidance feasibility in endomyocardial biopsy; hypothesis-generating and requires prospective trials before practice change.
Endomyocardial biopsy is fundamental to the success of cardiac transplantation and can also provide important information for the diagnosis of primary and secondary myocardial pathology. Classically, endomyocardial biopsy procedures have utilized fluoroscopy to guide bioptome manipulation. However, echocardiographic guidance has many distinct advantages. We review our experience of 4301 echocardiography guided endomyocardial biopsy procedures. Our overall major complication rate was 0.4% with one right ventricular perforation and no procedure related mortality. These results compare favorably to traditional fluoroscopic techniques. Echocardiographic guidance for endomyocardial biopsy is safe, effective, and efficient.
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Drury et al. (1997) studied this question.
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