Comparison of echocardiography-guided and fluoroscopy-guided endomyocardial biopsy techniques

被引:6
作者
Nelson, OL [1 ]
Robbins, CT
机构
[1] Washington State Univ, Dept Vet Clin Sci, Pullman, WA 99164 USA
[2] Washington State Univ, Sch Biol Sci, Pullman, WA 99164 USA
[3] Washington State Univ, Dept Nat Resources, Pullman, WA 99164 USA
关键词
endomyocardial bioptome; fluoroscopy; pericardial effusion; septum;
D O I
10.1111/j.1740-8261.2005.00025.x
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
The accuracy of bioptome placement for endomyocardial biopsy was evaluated using standard fluoroscopic guidance and compared simultaneously with two-dimensional echocardiography in six healthy subadult grizzly bears (Ursus arctos horribilis). Despite perceived adequate positioning of the bioptome toward the septum when judged using fluoroscopy, only one out of the six placements were actually positioned in the right ventricular apex toward the septum when evaluated using two-dimensional echocardiography. The bioptome was readily relocated to the right ventricular apex/septal location by echocardiography. The forceps were easily visualized at all times and the open cups were readily directed into the desired location for biopsy. Based on a subjective score for tissue quantity from 1 to 4 (poor to excellent), biopsies collected by echocardiographic-guided technique had a mean score of 3.4, while biopsies collected by fluoroscopic-guided technique had a mean score of 1.8. In summary, this study suggests that endomyocardial biopsy locations can be accurately positioned using two-dimensional echocardiography with the advantages of less radiation, lower procedural costs, and direct visuatization of the sampling site. Clear definition of endocardial surface as afforded by echocardiography may enhance tissue sample quality and lower potential complications from this procedure.
引用
收藏
页码:131 / 134
页数:4
相关论文
共 13 条
[1]  
Abela GS, 1996, CATHETER CARDIO DIAG, V37, P227, DOI 10.1002/(SICI)1097-0304(199602)37:2<227::AID-CCD29>3.0.CO
[2]  
2-F
[3]  
BAIM DS, 2000, CARDIAC CATHETERIZAT
[4]  
Balzer D, 1993, J Am Soc Echocardiogr, V6, P510
[5]   SUPERIOR ACCURACY OF ANATOMIC POSITIONING WITH ECHOCARDIOGRAPHIC-GUIDED OVER FLUOROSCOPIC-GUIDED ENDOMYOCARDIAL BIOPSY [J].
BELL, CA ;
KERN, MJ ;
AGUIRRE, FV ;
DONOHUE, T ;
BACH, R ;
WOLFORD, T ;
PENICK, D ;
OFILI, E ;
MILLER, L ;
LABOVITZ, AJ .
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1993, 28 (04) :291-294
[6]   COMPLICATIONS OF TRANSVENOUS RIGHT VENTRICULAR ENDOMYOCARDIAL BIOPSY IN ADULT PATIENTS WITH CARDIOMYOPATHY - A 7-YEAR SURVEY OF 546 CONSECUTIVE DIAGNOSTIC PROCEDURES IN A TERTIARY REFERRAL CENTER [J].
DECKERS, JW ;
HARE, JM ;
BAUGHMAN, KL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 19 (01) :43-47
[7]   THE CAUSES OF DILATED CARDIOMYOPATHY - A CLINICOPATHOLOGICAL REVIEW OF 673 CONSECUTIVE PATIENTS [J].
KASPER, EK ;
AGEMA, WRP ;
HUTCHINS, GM ;
DECKERS, JW ;
HARE, JM ;
BAUGHMAN, KL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 23 (03) :586-590
[8]  
KEENE BW, 1990, AM J VET RES, V51, P1769
[9]  
KEENE BW, 1990, J AM VET MED ASSOC, V197, P1501