Key result
ICE-guided transcatheter biopsy enables precise right atrial mass sampling without TEE or surgery.
Case Report (n=1)
No
Intracardiac echocardiography is an effective imaging modality for guiding transcatheter biopsy of intracardiac masses, potentially avoiding more invasive procedures like surgery or transesophageal echocardiography.
ICE-guided transcatheter biopsy may avoid TEE or surgery for select right atrial masses; leaves open safety and efficacy in larger cohorts.
We report a case of a 22-year-old female who presented with pericardial effusion and cardiac tamponade. She was diagnosed with a right atrial mass by computed tomography and was referred to our institution for biopsy of this mass. Transcatheter biopsy was performed with intracardiac echocardiography (ICE) guidance, avoiding the need for transesophageal echocardiography or surgery to obtain the biopsy. ICE for transcatheter biopsy of an intracardiac mass is an attractive modality which provides precise localization of the cardiac structures.
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Kuppahally et al. (2010) conducted a case report in Right atrial mass (n=1). Transcatheter biopsy with intracardiac echocardiography (ICE) guidance was evaluated. Transcatheter biopsy guided by intracardiac echocardiography successfully enabled precise localization and biopsy of a right atrial mass, avoiding transesophageal echocardiography or surgery.
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