Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?

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 sys...

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Autores principales: Zaccharie Tyler, Oliver P Guttmann, Konstantinos Savvatis, Daniel Jones, Constantinos O’Mahony
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2021
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Acceso en línea:https://doaj.org/article/11420ef45f0346f19932469146f36d88
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spelling oai:doaj.org-article:11420ef45f0346f19932469146f36d882021-12-04T16:05:04ZIs This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?10.15420/icr.2021.201756-14851756-1477https://doaj.org/article/11420ef45f0346f19932469146f36d882021-10-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2021.20https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Left 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.Zaccharie TylerOliver P GuttmannKonstantinos SavvatisDaniel JonesConstantinos O’MahonyRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 16, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
Zaccharie Tyler
Oliver P Guttmann
Konstantinos Savvatis
Daniel Jones
Constantinos O’Mahony
Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
description 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.
format article
author Zaccharie Tyler
Oliver P Guttmann
Konstantinos Savvatis
Daniel Jones
Constantinos O’Mahony
author_facet Zaccharie Tyler
Oliver P Guttmann
Konstantinos Savvatis
Daniel Jones
Constantinos O’Mahony
author_sort Zaccharie Tyler
title Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
title_short Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
title_full Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
title_fullStr Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
title_full_unstemmed Is This the Prime Time for Transradial Access Left Ventricular Endomyocardial Biopsy?
title_sort is this the prime time for transradial access left ventricular endomyocardial biopsy?
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/11420ef45f0346f19932469146f36d88
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