Key result
Transesophageal echocardiography with simultaneous fluoroscopic guidance was successfully used to perform a transvenous biopsy of a right atrial metastasis in a patient with impaired hemostasis.
Case Report (n=1)
Transesophageal echocardiography combined with fluoroscopy is a valuable technique for guiding transvenous biopsy of intracardiac tumors when primary tumor sites are inaccessible.
May offer a feasible biopsy option in coagulopathy; hypothesis-generating and requires validation before wider use.
Transesophageal echocardiography with simultaneous fluoroscopic guidance during a transvenous biopsy of an intracardiac tumor is a valuable technique. We present the case of a 67-year-old man with a metastasis in the right atrium from which histological examination of the tumor was indicated. The inaccessible location of the primary tumor in the liver and impaired hemostasis due to cirrhosis necessitated a transvenous biopsy of the metastasis. The procedure and the associated techniques are discussed in this case.
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Scholte et al. (2004) conducted a case report in Intracardiac tumor (right atrial metastasis) (n=1). Transesophageal echocardiography-guided transvenous biopsy was evaluated. Transesophageal echocardiography with simultaneous fluoroscopic guidance was successfully used to perform a transvenous biopsy of a right atrial metastasis in a patient with impaired hemostasis.
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