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Paper Information

Journal:   IRANIAN HEART JOURNAL (IHJ)   SUMMER 2011 , Volume 12 , Number 2; Page(s) 41 To 45.
 
Paper: 

LONG SHEATHS FOR ENDOMYOCARDIAL BIOPSY VIA FEMORAL APPROACH

 
 
Author(s):  NADERI NASIM, MOZAFFARI KAMBIZ, TAGHAVI SEPIDEH, AMIN AHMAD*
 
* HEART FAILURE AND TRANSPLANTATION DEPARTMENT OF HEART FAILURE AND TRANSPLANTATION RAJAEE CARDIOVASCULAR, MEDICAL AND RESEARCH CENTER, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, VALI-ASR AVE., NIYAYESH HIGHWAY, TEHRAN, IRAN, POSTAL CODE: 199691-1
 
Abstract: 

Background-Endomyocardial biopsy has long been a useful tool to evaluate myocardial diseases. It is a gold standard in diagnosing cardiac rejection and certain types of myocarditis, but there is always a risk for related complications. We have assessed the safety and feasibility of applying long sheaths in endomyocardial biopsy via the femoral approach.
Methods-We performed endomyocardial biopsy in 63 patients via the femoral approach and used a long sheath to guide bioptome from the venous access to the interventricular septum and evaluate the procedure success and complications.
Results-Success rate (acceptable endomyocardial specimen) was 96%, and there were no complications (death, no death, urgent cardiac surgery, advanced cardiac life support, hemothorax, and pneumothorax).
Conclusion-Using long sheaths for the femoral approach seems to be safe and feasible; it confers an acceptable room to grab the endomyocardial samples while obviating the possibility of complications.

 
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