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Endomyocardial Biopsy Guided by Electroanatomic Voltage Mapping in Arrhythmogenic Right Ventricular Cardiomyopathy: A Case Report
Author(s) -
AVELLA ANDREA,
PAPPALARDO AUGUSTO,
D'AMATI GIULIA,
RUSSO ANTONIO DELLO,
LAURENZI FRANCESCO,
MANCINI MASSIMILIANO,
RE FEDERICA,
ZACHARA ELISABETTA,
ZECCHI PAOLO,
TONDO CLAUDIO
Publication year - 2007
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2007.00807.x
Subject(s) - medicine , cardiology , ventricle , endomyocardial biopsy , interventricular septum , cardiomyopathy , arrhythmogenic right ventricular dysplasia , perforation , radiology , biopsy , heart failure , punching , materials science , metallurgy
A positive endomyocardial biopsy (EMB) is a major diagnostic criterion for arrhythmogenic right ventricular cardiomyopathy (ARVC). Nevertheless, its sensitivity is low due to the focal nature of the disease. Moreover, myocardial samples are usually taken from the uncommonly involved interventricular septum to minimize the risk of perforation. In this report, we describe a novel bioptical approach for ARVC diagnosis guided by the identification of right ventricle (RV) affected regions by means of electroanatomical voltage mapping.