Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
| Autor: | Konstantinos Savvatis, Zaccharie Tyler, Oliver P Guttmann, Constantinos O'Mahony, Daniel A. Jones |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Myocarditis RD1-811 medicine.diagnostic_test business.industry Transradial approach medicine.disease Pericardial effusion Endomyocardial biopsy Surgery medicine.anatomical_structure Structural RC666-701 Mitral valve Biopsy Cohort medicine Diseases of the circulatory (Cardiovascular) system biopsy Tamponade myocarditis Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Interventional Cardiology: Reviews, Research, Resources Interventional Cardiology: Reviews, Research, Resources, Vol 16, Iss, Pp-(2021) |
| ISSN: | 1756-1485 1756-1477 |
| Popis: | Left ventricular endomyocardial biopsy (EMB) is an essential tool in the management of myocarditis and is conventionally performed via transfemoral access (TFA). Transradial access EMB (TRA-EMB) is a novel alternative and the authors sought to determine its safety and feasibility by conducting a systematic review of the literature. Medline was searched in 2020, and cohort demographics, procedural details and complications were extracted from selected studies. Four observational studies with a combined total of 496 procedures were included. TRA-EMB was most frequently performed with a sheathless MP1 guide catheter via the right radial artery. The most common complication was pericardial effusion (up to 11% in one study), but pericardial drainage for tamponade was rare (one reported case). Death and mitral valve damage have not been reported. TRA-EMB was successful in obtaining samples in 99% of reported procedures. The authors concluded that TRA-EMB is a safe and feasible alternative to TFA-EMB and the most common complication is uncomplicated pericardial effusion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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