Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center

Detalhes bibliográficos
Autor(a) principal: Menezes, Miguel Nobre
Data de Publicação: 2020
Outros Autores: Oliveira, Eduardo Infante de, Silva, Artur Costa e, Brito, Dulce, Coutinho, Maria Conceição Azevedo, Canas da Silva, Pedro, Pinto, Fausto J.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/44350
Resumo: © 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
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spelling Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university centerExequibilidade, segurança e utilidade da biópsia endomiocárdica ventricular esquerda por acesso transradial : experiência inicial de um centro universitário terciárioBiópsia endomiocárdica esquerdaTransradialMiocarditeMiocardiopatia© 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).Introduction and objectives: Over the last decade, several studies have suggested that left ventricular endomyocardial biopsy is safer and has a higher diagnostic yield than transvenous right ventricular biopsy. In addition, recent publications indicate that the transradial approach is a feasible and safe alternative to the transfemoral approach for sampling the left ventricle. We report our initial experience with transradial endomyocardial biopsy with regards to feasibility, safety and usefulness. Methods: Single-center registry of consecutive patients undergoing intended transradial left endomyocardial biopsy. Clinical and technical data were collected prospectively, with a particular focus on success rate and complications. Results: Twenty-seven patients were screened for left ventricle biopsy. Twenty (25) were selected for an intended transradial approach (mean age 51±18 years old, 22 male). Success rate was 100% with no crossover to femoral approach. There were no major complications. Two patients experienced mild radial spasm. One of them also had a run of non-sustained ventricular tachycardia. Indication for biopsy was either myocarditis or cardiomyopathy of unknown etiology. The final diagnosis was acute lymphocytic myocarditis in five patients, chronic myocarditis in one patient, amyloid light-chain amyloidosis in four patients and transthyretin amyloidosis in six patients. Myocarditis was ruled out in eight patients and amyloidosis in one patient. Conclusions: Transradial left ventricle endomyocardial biopsy is a very safe and feasible method of sampling the myocardium for histopathological analysis, with a good diagnostic yield and clinically meaningful results in properly selected patients.ElsevierRepositório da Universidade de LisboaMenezes, Miguel NobreOliveira, Eduardo Infante deSilva, Artur Costa eBrito, DulceCoutinho, Maria Conceição AzevedoCanas da Silva, PedroPinto, Fausto J.2020-09-11T14:16:24Z2020-082020-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44350engRev Port Cardiol. 2020;39(8):453-4600870-255110.1016/j.repc.2019.11.0042174-2030info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:45:22Zoai:repositorio.ul.pt:10451/44350Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:56:57.408231Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
Exequibilidade, segurança e utilidade da biópsia endomiocárdica ventricular esquerda por acesso transradial : experiência inicial de um centro universitário terciário
title Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
spellingShingle Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
Menezes, Miguel Nobre
Biópsia endomiocárdica esquerda
Transradial
Miocardite
Miocardiopatia
title_short Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
title_full Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
title_fullStr Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
title_full_unstemmed Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
title_sort Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
author Menezes, Miguel Nobre
author_facet Menezes, Miguel Nobre
Oliveira, Eduardo Infante de
Silva, Artur Costa e
Brito, Dulce
Coutinho, Maria Conceição Azevedo
Canas da Silva, Pedro
Pinto, Fausto J.
author_role author
author2 Oliveira, Eduardo Infante de
Silva, Artur Costa e
Brito, Dulce
Coutinho, Maria Conceição Azevedo
Canas da Silva, Pedro
Pinto, Fausto J.
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Menezes, Miguel Nobre
Oliveira, Eduardo Infante de
Silva, Artur Costa e
Brito, Dulce
Coutinho, Maria Conceição Azevedo
Canas da Silva, Pedro
Pinto, Fausto J.
dc.subject.por.fl_str_mv Biópsia endomiocárdica esquerda
Transradial
Miocardite
Miocardiopatia
topic Biópsia endomiocárdica esquerda
Transradial
Miocardite
Miocardiopatia
description © 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
publishDate 2020
dc.date.none.fl_str_mv 2020-09-11T14:16:24Z
2020-08
2020-08-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/44350
url http://hdl.handle.net/10451/44350
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Port Cardiol. 2020;39(8):453-460
0870-2551
10.1016/j.repc.2019.11.004
2174-2030
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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