Key result
ICE-guided biopsy successfully diagnoses a right atrial mass as a thrombus to enable curative surgery.
Case Report (n=1)
No
ICE-guided percutaneous transcatheter biopsy is a viable and effective alternative to surgical biopsy for diagnosing intracardiac masses when non-invasive imaging is inconclusive.
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Hypothesis-generating for ICE-guided biopsy in inconclusive intracardiac masses; does not support practice change pending prospective validation.
Precise diagnosis of intracardiac masses is fundamental to their treatment. However, the findings of non-invasive imaging techniques are frequently inconclusive. In this setting, percutaneous transcatheter biopsy might represent a valid alternative to surgical biopsy. Intracardiac echocardiography (ICE)-guided biopsy offers high-quality imaging, is a relatively quick and easy interventional procedure to perform and does not require patient intubation or the assistance of an echocardiographer. We describe the case of a 47-year-old woman undergoing chemotherapy for breast cancer, who presented with a right atrial mass. Non-invasive imaging was inconclusive. Since no changes in the aspect or size of the mass were noticed after 2-week treatment with heparin, ICE-guided biopsy was performed, which confirmed the thrombotic nature of the mass. The patient underwent surgical resection of the thrombus and curative treatment of her breast cancer was pursued.
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Azzalini et al. (2016) conducted a case report in Right atrial mass in a patient with breast cancer (n=1). Percutaneous transcatheter biopsy under intracardiac echocardiography (ICE) guidance was evaluated on Diagnosis of the mass. Percutaneous transcatheter ICE-guided biopsy successfully diagnosed a right atrial mass as a degenerated thrombus in a patient with breast cancer, allowing for curative surgical treatment.
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