Left ventricular endomyocardial biopsy I: Description and evaluation of the technique
โ Scribed by Brooksby, Iain A. B. ;Jenkins, B. Stephen ;Davies, Michael J. ;Swanton, R. Howard ;Coltart, D. John ;Webb-Peploe, Michael M.
- Publisher
- John Wiley and Sons
- Year
- 1977
- Tongue
- English
- Weight
- 365 KB
- Volume
- 3
- Category
- Article
- ISSN
- 0098-6569
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โฆ Synopsis
Abstract
The results of left ventricular endomyocardial biopsy by means of a long sheath technique in 154 patients are reported. The risks of left ventricular biopsy are those of left heart catheterisation. In 30 of these patients the results of left and right ventricular biopsy were compared, and in a further 10 patients the right ventricle only was biopsied. Biopsy from the left ventricle carries less risk of cardiac perforation, gives a higher incidence of successful biopsy, and with the exception of hypertrophic obstructive cardiomyopathy yields more diagnostic information.
๐ SIMILAR VOLUMES
Endomyocardial biopsy is conventionally performed by accessing the right internal jugular vein. The alternative approach is via the femoral veins. We describe the safe and effective use of the left internal jugular vein with a standard Caves-Schulz bioptome.
A common problem during biopsy of the right ventricular septum using the flexible King's bioptome is the difficulty of accurately directing the tip of the long biopsy sheath against the septal surface. This can be important in that inadvertent biopsy of the more delicate ventricular free wall may le