Endomyocardial biopsy guided by intracardiac echocardiography as a key step in intracardiac mass diagnosis

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Abstract

Background: Based on a plenty of different applications, intracardiac echocardiography (ICE) is now a well-established technology in complex electrophysiological procedures. Recently, ICE has become the most widely used ultrasound-based imaging tool to guide diagnostic endomyocardial biopsy (EMB). EMB of cardiac mass guided by ICE is an interesting application of ICE. Allowing a correct positioning of the bioptome, ICE reduce the procedure-related risks and the need of a diagnostic open-chest procedure reserving the more invasive approach to selected cases. Case presentation: Hereby we report a case series of right ventricular masses in which the EMB was safely and effectively performed under ICE guidance giving essential information for planning the therapeutic strategy. Conclusions: The diagnosis of both metastatic and primary cardiac tumors relies on the histopathological analyses. The endomyocardial biopsy is a valuable tool for preoperative diagnosis and surgical planning of intracardiac masses suspected for tumors. In our experience, the use of ICE for right ventricle EMB of an intracardiac mass is an attractive modality thanks to the precise localization of the cardiac structures and the ability to guide bioptic withdrawal in the target area.

Original languageEnglish
Article number15
JournalBMC Cardiovascular Disorders
Volume18
Issue number1
DOIs
Publication statusPublished - Jan 30 2018

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Echocardiography
Biopsy
Heart Neoplasms
Heart Ventricles
Ultrasonography
Thorax
Technology
Neoplasms

Keywords

  • Endomyocardial biopsy
  • Intracardiac echocardiography
  • Intracardiac mass
  • Right ventricle

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Endomyocardial biopsy guided by intracardiac echocardiography as a key step in intracardiac mass diagnosis",
abstract = "Background: Based on a plenty of different applications, intracardiac echocardiography (ICE) is now a well-established technology in complex electrophysiological procedures. Recently, ICE has become the most widely used ultrasound-based imaging tool to guide diagnostic endomyocardial biopsy (EMB). EMB of cardiac mass guided by ICE is an interesting application of ICE. Allowing a correct positioning of the bioptome, ICE reduce the procedure-related risks and the need of a diagnostic open-chest procedure reserving the more invasive approach to selected cases. Case presentation: Hereby we report a case series of right ventricular masses in which the EMB was safely and effectively performed under ICE guidance giving essential information for planning the therapeutic strategy. Conclusions: The diagnosis of both metastatic and primary cardiac tumors relies on the histopathological analyses. The endomyocardial biopsy is a valuable tool for preoperative diagnosis and surgical planning of intracardiac masses suspected for tumors. In our experience, the use of ICE for right ventricle EMB of an intracardiac mass is an attractive modality thanks to the precise localization of the cardiac structures and the ability to guide bioptic withdrawal in the target area.",
keywords = "Endomyocardial biopsy, Intracardiac echocardiography, Intracardiac mass, Right ventricle",
author = "Marco Zanobini and {Dello Russo}, Antonio and Matteo Saccocci and Sergio Conti and {De Camilli}, Elisa and Giulia Vettor and Valentina Catto and Maurizio Roberto and Cesare Fiorentini and Giuseppe Viale and Claudio Tondo and Michela Casella",
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AU - Zanobini, Marco

AU - Dello Russo, Antonio

AU - Saccocci, Matteo

AU - Conti, Sergio

AU - De Camilli, Elisa

AU - Vettor, Giulia

AU - Catto, Valentina

AU - Roberto, Maurizio

AU - Fiorentini, Cesare

AU - Viale, Giuseppe

AU - Tondo, Claudio

AU - Casella, Michela

PY - 2018/1/30

Y1 - 2018/1/30

N2 - Background: Based on a plenty of different applications, intracardiac echocardiography (ICE) is now a well-established technology in complex electrophysiological procedures. Recently, ICE has become the most widely used ultrasound-based imaging tool to guide diagnostic endomyocardial biopsy (EMB). EMB of cardiac mass guided by ICE is an interesting application of ICE. Allowing a correct positioning of the bioptome, ICE reduce the procedure-related risks and the need of a diagnostic open-chest procedure reserving the more invasive approach to selected cases. Case presentation: Hereby we report a case series of right ventricular masses in which the EMB was safely and effectively performed under ICE guidance giving essential information for planning the therapeutic strategy. Conclusions: The diagnosis of both metastatic and primary cardiac tumors relies on the histopathological analyses. The endomyocardial biopsy is a valuable tool for preoperative diagnosis and surgical planning of intracardiac masses suspected for tumors. In our experience, the use of ICE for right ventricle EMB of an intracardiac mass is an attractive modality thanks to the precise localization of the cardiac structures and the ability to guide bioptic withdrawal in the target area.

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KW - Endomyocardial biopsy

KW - Intracardiac echocardiography

KW - Intracardiac mass

KW - Right ventricle

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