Intracardiac Echocardiography to Guide Biopsy for Two Cases of Intracardiac Masses

Park, Kwang-In; Kim, Mi Joo; Oh, Jin Kyung; Lee, Jae‐Hwan; Park, Jae‐Hyeong; Choi, Si Wan; Jeong, Jin‐Ok; Seong, In Whan

doi:10.4070/kcj.2015.45.2.165

Cited by 11 publications

(7 citation statements)

References 8 publications

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“…For uncertain and diagnostically challenging cases, guided biopsy of the lesions using intracardiac echocardiography or transesophageal echocardiography has been reported to be helpful. 4 Most often, the workup and management of cardiac masses calls for a team involving an internist, cardiologist, cardiothoracic surgeon, and vascular medicine specialist. Depending on the nature of the mass, the team may also include an oncologist, radiotherapist, and infectious disease specialist.…”

Section: ■ Treatment Of Cardiac Tumorsmentioning

confidence: 99%

A large mass in the right ventricle: Tumor or thrombus?

Patnaik

Shah²,

Sharma

et al. 2017

CCJM

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Section: ■ Treatment Of Cardiac Tumorsmentioning

confidence: 99%

A large mass in the right ventricle: Tumor or thrombus?

Patnaik

Shah²,

Sharma

et al. 2017

CCJM

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“…ICE is known to give compatible or superior imaging quality to TEE in guiding transcatheter endomyocardial biopsy without the need for general anesthesia. 21) Although several case reports and the present case showed the usefulness and safety of ICE in differential diagnosis of cardiac masses including malignant tumors, [22][23][24][25] the diagnostic accuracy and complication rate of ICE-guided percutaneous transcatheter biopsy for cardiac masses need to be investigated.…”

Section: Discussionmentioning

confidence: 80%

Successful Transcatheter Diagnosis and Medical Treatment of Right Atrial Involvement in IgG4-related Disease

et al. 2018

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IgG4-related disease (IgG4-RD) is a fibro-inflammatory disorder characterized by lymphoplasmacytic infiltration of numerous IgG4-positive plasma cells, leading to fibrous thickening in the affected tissue. Typical cardiovascular manifestations of IgG4-RD are periaortitis, coronary arteritis, and pericarditis. Rare cases of myocardial involvement in IgG4-RD have been reported, but surgical resection or open biopsy was required for the diagnosis in those cases. Here, we report a case in which percutaneous transcatheter biopsy under the guidance of intracardiac echocardiography was useful for diagnosis of IgG4-RD manifested as an intracavitary right atrial mass, extending into the superior vena cava. Successful transcatheter diagnosis of myocardial involvement of IgG4-RD led to immediate favorable response to steroid therapy. Including the present case, previous IgG4-RD cases with myocardial involvement are reviewed to delineate its clinical characteristics.

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“…To the best of our knowledge, there are few reports of ICE-guided EMB of right atrial cardiac tumor [7–9], in contrast we are describing ICE-guided EMB of both metastatic and primary cardiac tumor in the RV for the first time. In all cases, ICE was safely and effectively used to provide precise localization of the mass and of the cardiac structures and to guide EMB.…”

Section: Discussionmentioning

confidence: 98%

Endomyocardial biopsy guided by intracardiac echocardiography as a key step in intracardiac mass diagnosis

Zanobini

Russo

Saccocci

et al. 2018

BMC Cardiovasc Disord

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BackgroundBased on a plenty of different applications, intracardiac echocardiography (ICE) is now a well-established technology in complex electrophysiological procedures. Recently, ICE has become the most widely used ultrasound-based imaging tool to guide diagnostic endomyocardial biopsy (EMB). EMB of cardiac mass guided by ICE is an interesting application of ICE. Allowing a correct positioning of the bioptome, ICE reduce the procedure-related risks and the need of a diagnostic open-chest procedure reserving the more invasive approach to selected cases.Case presentationHereby we report a case series of right ventricular masses in which the EMB was safely and effectively performed under ICE guidance giving essential information for planning the therapeutic strategy.ConclusionsThe diagnosis of both metastatic and primary cardiac tumors relies on the histopathological analyses. The endomyocardial biopsy is a valuable tool for preoperative diagnosis and surgical planning of intracardiac masses suspected for tumors. In our experience, the use of ICE for right ventricle EMB of an intracardiac mass is an attractive modality thanks to the precise localization of the cardiac structures and the ability to guide bioptic withdrawal in the target area.Electronic supplementary materialThe online version of this article (10.1186/s12872-018-0749-9) contains supplementary material, which is available to authorized users.

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Intracardiac Echocardiography to Guide Biopsy for Two Cases of Intracardiac Masses

Cited by 11 publications

References 8 publications

A large mass in the right ventricle: Tumor or thrombus?

A large mass in the right ventricle: Tumor or thrombus?

Successful Transcatheter Diagnosis and Medical Treatment of Right Atrial Involvement in IgG4-related Disease

Endomyocardial biopsy guided by intracardiac echocardiography as a key step in intracardiac mass diagnosis

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