Biopsy of Cardiac Masses Using a Stabilized Intracardiac Echocardiography-guided System
Biopsy of Cardiac Masses Using a Stabilized Intracardiac Echocardiography-guided System
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DOI：
10.1016/j.jvir.2008.08.001
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发表时间：
2008-11-01
影响因子：
2.9
通讯作者：
Petersen, Bryan
中科院分区：
文献类型：
--
作者：
Sze, Daniel Y.;Lee, David P.;Petersen, Bryan
心脏肿块的活组织检查仍然是一项困难和危险的程序。连续的心脏运动和血液流动阻碍了对目标组织的成功采样。因为周围的组织是血管的，并发症可能包括出血、填塞、心律失常、栓塞和死亡。在这种动态的环境中，传统的成像方式用处有限。本报告描述了使用最初为建立直接门腔分流术而设计的器械系统和心内超声心动图成像对6名患者进行心脏和心旁肿块的核心活组织检查。无出血并发症，6例中有5例获得病理诊断。
Biopsy of a cardiac mass remains a difficult and risky procedure. Successful sampling of target tissue is hampered by continuous cardiac motion and blood flow. Because the surrounding tissues are vascular, complications can include hemorrhage, tamponade, arrhythmia, embolization, and death. Conventional imaging modalities are of limited utility in this dynamic environment. The present report describes the use of the instrumentation system originally designed for creation of direct portocaval shunts with intracardiac echocardiography imaging to perform core biopsies of cardiac and juxtacardiac masses in six patients. There were no hemorrhagic complications, and pathologic diagnoses were obtained in five of six cases.