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Complications of 2-D Echocardiography Guided Transfemoral Right Ventricular Endomyocardial Biopsy

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Author(s)
Juyup HanYongwhi ParkHyunsang LeeHyunjae KangHyungseop KimDong Heon YangHun Sik ParkYongkeun ChoShung-Chull ChaeJae-Eun JunWee-Hyun Park
Keimyung Author(s)
Kim, Hyung Seop
Department
Dept. of Internal Medicine (내과학)
Journal Title
Journal of Korean Medical Science
Issued Date
2006
Volume
21
Issue
6
Keyword
EndocardiumBiopsyEchocardiographycomplications
Abstract
Endomyocardial biopsy (EMBx) is a useful tool for diagnosing various cardiac pathologies.
However, the routine use of EMBx has not gained widespread acceptance
due to the possible complications related to the EMBx. Thus, not much information
is available on the complications related to the EMBx. We prospectively evaluated
90 consecutive patients who underwent 2-D echocardiography guided transfemoral
right ventricular EMBx at Kyungpook National University Hospital between March
2002 and November 2005 to determine the incidence, nature and subsequent management
of complications related to EMBx. The clinical diagnoses before the EMBx
were arrhythmogenic right ventricular dysplasia in 54, dilated cardiomyopathy in 19,
Brugada syndrome in 9, myocarditis in 6 and miscellaneous in 2 patients. The overall
major complication rate was 5.6% and no procedure-related mortality occurred.
Myocardial perforation (n=3), which was the most frequent complication, did not
progress to cardiac tamponade requiring pericardiocentesis in any patient. Hemodynamically
unstable ventricular tachycardia occurred in 1 patient. New and persistent
right bundle branch block occurred in another. Our findings suggest that 2-D
echocardiography guided transfemoral right ventricular EMBx is a relatively safe
procedure.
Keimyung Author(s)(Kor)
김형섭
Publisher
School of Medicine
Citation
Juyup Han et al. (2006). Complications of 2-D Echocardiography Guided Transfemoral Right Ventricular Endomyocardial Biopsy. Journal of Korean Medical Science, 21(6), 989–994. doi: 10.3346/jkms.2006.21.6.989
Type
Article
ISSN
1011-8934
DOI
10.3346/jkms.2006.21.6.989
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34099
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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