Author/Authors :
Naderi, Nasim tehran university of medical sciences tums - Medical and Research Center - Department of Heart Failure and Transplantation Rajaee Cardiovascular, تهران, ايران , Mozaffari, Kambiz tehran university of medical sciences tums - Medical and Research Center - Department of Heart Failure and Transplantation Rajaee Cardiovascular, تهران, ايران , Taghavi, Sepideh tehran university of medical sciences tums - Medical and Research Center - Department of Heart Failure and Transplantation Rajaee Cardiovascular, تهران, ايران , Amin, Ahmad tehran university of medical sciences tums - Medical and Research Center - Department of Heart Failure and Transplantation Rajaee Cardiovascular, تهران, ايران
Abstract :
Background-Endomyocardial biopsy has long been a useful tool to evaluate myocardial diseases. It is a gold standard in diagnosing cardiac rejection and certain types of myocarditis, but there is always a risk for related complications. We have assessed the safety and feasibility of applying long sheaths in endomyocardial biopsy via the femoral approach.Methods-We performed endomyocardial biopsy in 63 patients via the femoral approach and used a long sheath to guide bioptome from the venous access to the interventricular septum and evaluate the procedure success and complications.Results-Success rate (acceptable endomyocardial specimen) was 96%, and there were no complications (death, no death, urgent cardiac surgery, advanced cardiac life support, hemothorax, and pneumothorax). Conclusion- Using long sheaths for the femoral approach seems to be safe and feasible; it confers an acceptable room to grab the endomyocardial samples while obviating the possibility of complications
