Key result
ICE safely guides percutaneous biopsy of intracardiac masses without general anesthesia in 2 patients.
Case Report (n=2)
No
Intracardiac echocardiography provides a feasible and safe method to guide percutaneous biopsy of right-sided cardiac masses under local anesthesia, avoiding the need for general anesthesia or more invasive surgical approaches.
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ICE-guided biopsy may enable less invasive cardiac mass diagnosis; leaves open need for prospective validation before wider adoption.
Pathologic diagnosis of a cardiac mass is vital in determining the proper treatment modality. Open heart surgery or transesophageal echocardiography guided biopsy can be feasible methods to confirm the pathology. However, the former is highly invasive and both methods require general anesthesia. The introduction of intracardiac echocardiography (ICE) can provide good anatomic information of heart and does not require general anesthesia. In this report, we present two cases of cardiac tumors which were confirmed by percutaneous biopsy under the guidance of an ICE. The patients underwent cardiac biopsy without any complications.
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Park et al. (2015) conducted a case report in Intracardiac masses (n=2). Intracardiac echocardiography (ICE) guided biopsy was evaluated on Feasibility and safety of ICE-guided biopsy. Intracardiac echocardiography successfully guided percutaneous biopsy of intracardiac masses in two patients without requiring general anesthesia or causing complications.
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