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

Marco Zanobini; Antonio Dello Russo; Matteo Saccocci; Sergio Conti; Elisa De Camilli; Giulia Vettor; Valentina Catto; Maurizio Roberto; Cesare Fiorentini; Giuseppe Viale; Claudio Tondo; Michela Casella

doi:10.1186/s12872-018-0749-9

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

Journal article

Peer reviewed

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

Marco Zanobini, Antonio Dello Russo, Matteo Saccocci, Sergio Conti, Elisa De Camilli, Giulia Vettor, Valentina Catto, Maurizio Roberto, Cesare Fiorentini, Giuseppe Viale, …

BMC cardiovascular disorders, Vol.18(1), pp.15-15

01/30/2018

DOI: 10.1186/s12872-018-0749-9

PMCID: PMC5791188

PMID: 29382308

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Abstract

Background: Based on a plenty of different applications, intracardiac echocardiography (ICE) is now a wellestablished 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.

Cardiac & Cardiovascular Systems

Cardiovascular System & Cardiology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Endomyocardial biopsy guided by intracardiac echocardiography as a key step in intracardiac mass diagnosis
Creators: Marco Zanobini - Centro Cardiologico Monzino
Antonio Dello Russo - Centro Cardiologico Monzino
Matteo Saccocci - Centro Cardiologico Monzino
Sergio Conti - Centro Cardiologico Monzino
Elisa De Camilli - European Inst Oncol, Div Pathol & Lab Med, Milan, Italy
Giulia Vettor - Centro Cardiologico Monzino
Valentina Catto - Centro Cardiologico Monzino
Maurizio Roberto - Centro Cardiologico Monzino
Cesare Fiorentini - Centro Cardiologico Monzino
Giuseppe Viale - Mylan (Switzerland)
Claudio Tondo - Centro Cardiologico Monzino
Michela Casella - Centro Cardiologico Monzino
Resource Type: Journal article
Publication Details: BMC cardiovascular disorders, Vol.18(1), pp.15-15
DOI: 10.1186/s12872-018-0749-9
PMID: 29382308
PMCID: PMC5791188
NLM abbreviation: BMC Cardiovasc Disord
ISSN: 1471-2261
eISSN: 1471-2261
Publisher: Springer Nature
Number of pages: 5
Language: English
Date published: 01/30/2018
Academic Unit: Internal Medicine
Record Identifier: 9984823119702771

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