Key result
Endomyocardial biopsy under echocardiographic monitoring is described as a routine technique for monitoring cardiac allograft rejection, highlighting the risk of iatrogenic tricuspid regurgitation.
Echocardiography-guided endomyocardial biopsy is a described technique for monitoring cardiac allograft rejection, with specific attention needed to avoid iatrogenic tricuspid regurgitation.
Despite echocardiographic guidance, endomyocardial biopsy risks iatrogenic tricuspid regurgitation; leaves open safer rejection surveillance methods.
Endomyocardial biopsy is a common procedure for monitoring cardiac allograft rejection; several techniques have been described so far, throughout different access sites and under echocardiographic or X-ray control. We describe the routine technique adopted at our centre based on echo-guided puncture of jugular vein and echocardiographic assessment of endomyocardial sampling with direct visualization of the bioptome tip. We also report the most common complications of the procedure, especially concerning the risk of iatrogenic tricuspid regurgitation, and same examples of histopathological findings drawn from our own iconographic collection.
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Toscano et al. (2016) studied Cardiac allograft rejection. Endomyocardial biopsy under echocardiographic monitoring was evaluated. Endomyocardial biopsy under echocardiographic monitoring is described as a routine technique for monitoring cardiac allograft rejection, highlighting the risk of iatrogenic tricuspid regurgitation.
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