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Percutaneous Dye Image Cardioscopy for Detection of Endocardial Lesions
Author(s) -
Masahito Kanai,
Takeshi Sakurai,
Kunio Yoshinaga,
Kaneyuki Aoyagi,
Takashi Hitsumoto,
Masaki Yoshinuma,
Takashi Uchi,
Hirofumi Noike,
Hidefumi Ohsawa,
Kouhei Kawamura,
Keiichi Tokuhiro,
Makiko Takahashi,
Tadashi Ebihara,
Keiichi Tachihara,
Yasumi Uchida
Publication year - 2000
Publication title -
diagnostic and therapeutic endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.158
H-Index - 24
eISSN - 1029-0516
pISSN - 1026-714X
DOI - 10.1155/dte.7.29
Subject(s) - endocardium , medicine , ventricle , endomyocardial biopsy , biopsy , percutaneous , cardiology , radiology , pathology
Endocardial lesions are caused not only by inflammatory processes but also by myocardial ischemia, resulting in endocardial thrombosis and cerebral embolism. We deviced a method for direct visualization of endocardial damages by a novel dye image cardioscopy with Evans blue and examined its feasibility in patients with heart disease. The dye was injected into the left ventricle before and after endomyocardial biopsy. Endocardial surface was stained in dark blue in 63% of patients with angina pectoris before biopsy. After biopsy, the biopsied portions were stained in blue in all. The results indicate that endocardium is damaged even in apparently intact LV in patients with ischemic heart disease and that endomyocardial biopsy causes severe endocardial damages.

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