Abstract:The use of real-time transthoracic 3DE in endomyocardial right ventricular biopsies in children is both feasible and safe. Further study to determine the impact of real-time 3DE guidance on fluoroscopy and case times for endomyocardial biopsies is warranted.
“…Scheurer et al demonstrated the use of live 3DE to guide the performance of endomyocardial biopsy in children. 19 In their experience, the use of live 3DE guidance was associated with no complications, including no new tricuspid valve leaflet flail or pericardial effusion. 3DE proved to be a reliable noninvasive modality to accurately direct the bioptome to the desired site of biopsy within the RV.…”
Complex intracardiac anatomy and spatial relationships are inherent to congenital heart defects (CHDs). Recognition of the limitations of two-dimensional echocardiography has stimulated clinical interest in three-dimensional imaging. The current review examines contemporary studies in the following areas where three-dimensional echocardiography has provided additive value in CHD: (1) visualization of morphology, (2) quantitation of chamber sizes and ventricular function, and (3) image-guided interventions.
“…Scheurer et al demonstrated the use of live 3DE to guide the performance of endomyocardial biopsy in children. 19 In their experience, the use of live 3DE guidance was associated with no complications, including no new tricuspid valve leaflet flail or pericardial effusion. 3DE proved to be a reliable noninvasive modality to accurately direct the bioptome to the desired site of biopsy within the RV.…”
Complex intracardiac anatomy and spatial relationships are inherent to congenital heart defects (CHDs). Recognition of the limitations of two-dimensional echocardiography has stimulated clinical interest in three-dimensional imaging. The current review examines contemporary studies in the following areas where three-dimensional echocardiography has provided additive value in CHD: (1) visualization of morphology, (2) quantitation of chamber sizes and ventricular function, and (3) image-guided interventions.
“…Scheurer et al [20] reported the feasibility and utility of real-time transthoracic 3D echocardiography to guide RV endomyocardial biopsies in 28 consecutive cardiac catheterizations in children aged 18 months to 16 years who were undergoing endomyocardial biopsy. There were no complications, including no new tricuspid valve leaflet flail or pericardial effusion.…”
Section: Clinical Evaluation Of Right Ventricular Volume and Functionmentioning
Despite the development of new real-time 3D echocardiographic systems, there still exist limitations in clinical settings due to technical factors. Thus, the combination of conventional 2D and Doppler methods and 3D echocardiography is recommended in the evaluation of the RV at the present time.
“…Scheurer et al [ 44 ] demonstrated the use of live 3DE to guide the performance of endomyocardial biopsy in children. In their experience, live 3DE guidance was associated with no complications, including no new tricuspid valve leafl et fl ail or pericardial effusion.…”
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