BACKGROUND: Endomyocardial biopsy constitutes an essential part of the diagnostic algorithm in patients with heart failure of unknown origin, but usually requires transfemoral access. METHODS AND RESULTS: Here, we describe a novel method that allows interventional cardiologists to obtain left ventricular biopsies via transradial access with a 7.5F sheathless multipurpose (MP1.0) guiding catheter. This approach was successfully conducted in 37 consecutive patients at our institution with only one intraprocedural minor complication (ventricular fibrillation during insertion of the guiding catheter). CONCLUSIONS: Transradial access to obtain left ventricular endomyocardial biopsies is a feasible and safe option for experienced radial operators.
BACKGROUND: Endomyocardial biopsy constitutes an essential part of the diagnostic algorithm in patients with heart failure of unknown origin, but usually requires transfemoral access. METHODS AND RESULTS: Here, we describe a novel method that allows interventional cardiologists to obtain left ventricular biopsies via transradial access with a 7.5F sheathless multipurpose (MP1.0) guiding catheter. This approach was successfully conducted in 37 consecutive patients at our institution with only one intraprocedural minor complication (ventricular fibrillation during insertion of the guiding catheter). CONCLUSIONS: Transradial access to obtain left ventricular endomyocardial biopsies is a feasible and safe option for experienced radial operators.
Authors: Shimaa S Khidr; Mohamed Ahmed El-Mokhtar; Shery Refaat Asaad; Helal F Hetta; Mona Hussein Abdel-Rahim; Amr Ahmed Aly Youssef; Ayman K M Hassan Journal: BMC Cardiovasc Disord Date: 2022-09-06 Impact factor: 2.174
Authors: K Keller; P Wenzel; S Schwuchow-Thonke; S Göbel; T Emrich; V H Schmitt; F Fueting; C Klank; F Escher; H P Schultheiss; T Münzel Journal: Sci Rep Date: 2021-02-04 Impact factor: 4.379
Authors: Tilman Emrich; Felix Hahn; David Fleischmann; Moritz C Halfmann; Christoph Düber; Akos Varga-Szemes; Felicitas Escher; Evgenia Pefani; Thomas Münzel; Heinz-Peter Schultheiss; Karl-Friedrich Kreitner; Philip Wenzel Journal: ESC Heart Fail Date: 2020-08-13