TY - JOUR
T1 - Electroanatomical mapping systems and intracardiac echo integration for guided endomyocardial biopsy
AU - Casella, Michela
AU - Dello Russo, Antonio
AU - Vettor, Giulia
AU - Lumia, Giuseppe
AU - Catto, Valentina
AU - Sommariva, Elena
AU - Ribatti, Valentina
AU - Biagioli, Viviana
AU - Tundo, Fabrizio
AU - Carbucicchio, Corrado
AU - Di Biase, Luigi
AU - Natale, Andrea
AU - Tondo, Claudio
PY - 2017/8/3
Y1 - 2017/8/3
N2 - Introduction: During the past years, endomyocardial biopsy (EMB) has gradually spread into clinical practice. However, the role of EMB in the diagnosis and treatment of cardiovascular diseases remains a controversial issue, especially in the setting of unexplained ventricular arrhythmias. Areas covered: This review describes the methodology of EMB guided by combined use of three-dimensional electroanatomical mapping systems and intracardiac echo and summarizes the classical, fluoroscopy-guided EMB technique. Finally, the personal experience acquired with the ‘electrophysiologist-made’ integration methodology has been reported. Expert commentary: Since EMB has been considered in the setting of arrhythmogenic cardiomyopathy, myocarditis, cardiac sarcoidosis, drug toxicity, and/or other diseases causing malignant ventricular arrhythmias, the electrophysiologists have started to perform firsthand biopsy. The electrophysiologists introduced the use of electroanatomical mapping systems and intracardiac echo. This new methodology improved significantly biopsy diagnostic yield and allowed to reduce complications.
AB - Introduction: During the past years, endomyocardial biopsy (EMB) has gradually spread into clinical practice. However, the role of EMB in the diagnosis and treatment of cardiovascular diseases remains a controversial issue, especially in the setting of unexplained ventricular arrhythmias. Areas covered: This review describes the methodology of EMB guided by combined use of three-dimensional electroanatomical mapping systems and intracardiac echo and summarizes the classical, fluoroscopy-guided EMB technique. Finally, the personal experience acquired with the ‘electrophysiologist-made’ integration methodology has been reported. Expert commentary: Since EMB has been considered in the setting of arrhythmogenic cardiomyopathy, myocarditis, cardiac sarcoidosis, drug toxicity, and/or other diseases causing malignant ventricular arrhythmias, the electrophysiologists have started to perform firsthand biopsy. The electrophysiologists introduced the use of electroanatomical mapping systems and intracardiac echo. This new methodology improved significantly biopsy diagnostic yield and allowed to reduce complications.
KW - Endomyocardial biopsy
KW - arrhythmogenic cardiomyopathy
KW - cardiomyopathies
KW - electroanatomical mapping
KW - intracardiac echocardiography
KW - ventricular arrhythmias
UR - http://www.scopus.com/inward/record.url?scp=85028766858&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028766858&partnerID=8YFLogxK
U2 - 10.1080/17434440.2017.1351875
DO - 10.1080/17434440.2017.1351875
M3 - Review article
C2 - 28678556
AN - SCOPUS:85028766858
SN - 1743-4440
VL - 14
SP - 609
EP - 619
JO - Expert Review of Medical Devices
JF - Expert Review of Medical Devices
IS - 8
ER -
