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Feasibility and safety of left ventricular endomyocardial biopsy via transradial access: Technique and initial experience
Author(s) -
Schulz Eberhard,
Jabs Alexander,
Gori Tommaso,
Hink Ulrich,
Sotiriou Efthymios,
Tschöpe Carsten,
Schultheiss HeinzPeter,
Münzel Thomas,
Wenzel Philip
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25834
Subject(s) - medicine , endomyocardial biopsy , complication , catheter , biopsy , cardiology , radiology , cardiac catheterization , surgery
Background Endomyocardial biopsy constitutes an essential part of the diagnostic algorithm in patients with heart failure of unknown origin, but usually requires transfemoral access. Methods and Results Here, we describe a novel method that allows interventional cardiologists to obtain left ventricular biopsies via transradial access with a 7.5F sheathless multipurpose (MP1.0) guiding catheter. This approach was successfully conducted in 37 consecutive patients at our institution with only one intraprocedural minor complication (ventricular fibrillation during insertion of the guiding catheter). Conclusions Transradial access to obtain left ventricular endomyocardial biopsies is a feasible and safe option for experienced radial operators. © 2015 Wiley Periodicals, Inc.