Transradial left ventricular endomyocardial biopsy feasibility, safety and clinical usefulness : initial experience of a tertiary university center
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
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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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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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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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1799134512580395008 |