Transesophageal echocardiographically guided percutaneous biopsy of a right atrial cardiac mass

Rubin, David C.; Ziskind, Andrew A.; Hawke, Mary W.; Plotnick, Gary D.

doi:10.1016/0002-8703(94)90566-5

Cited by 15 publications

(5 citation statements)

References 4 publications

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“…The applicability and use of TEE in obtaining histological specimens from tumors in the right atrium has been previously reported 2–8 . This technique has also proved to be suitable for tumors in the left side of the heart 9 .…”

Section: Discussionmentioning

confidence: 93%

Transesophageal Echocardiography‐Guided Transvenous Biopsy of an Intracardiac Tumor

2004

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Transesophageal echocardiography with simultaneous fluoroscopic guidance during a transvenous biopsy of an intracardiac tumor is a valuable technique. We present the case of a 67‐year‐old man with a metastasis in the right atrium from which histological examination of the tumor was indicated. The inaccessible location of the primary tumor in the liver and impaired hemostasis due to cirrhosis necessitated a transvenous biopsy of the metastasis. The procedure and the associated techniques are discussed in this case.

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Section: Discussionmentioning

confidence: 93%

Transesophageal Echocardiography‐Guided Transvenous Biopsy of an Intracardiac Tumor

2004

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“…Although cavo-atrial tumors are rare, a variety of biopsy techniques ranging from percutaneous CT-guided fine needle aspiration to more complex procedures such as transesophageal echocardiographically-guided transfemoral forceps biopsy have been described [8,14]. As the pertinent literature consists mostly of case reports, no conclusion can be drawn regarding the technique that should be chosen for cavo-atrial tumors.…”

Section: Discussionmentioning

confidence: 99%

Transvenous Biopsy of Cavo-Atrial Tumors with the Quick-Core Needle

Schertler

Kurrer

Marinček

et al. 2004

CVIR

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A variant application of the renal Quick-Core needle in 3 patients with cavo-atrial tumors is reported. In all 3 patients either a transjugular or transfemoral venous biopsy approach with this device yielded sufficient tissue for histological diagnosis at the first attempt. Bioptic diagnoses were confirmed either by surgery or radiological and clinical response to a specific chemotherapy. There were no procedure-related complications.

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“…Intracardiac echocardiography, a technique that uses transducer-tipped catheters to sample ultrasonic data directly within the heart, has been used successfully in place of TEE in one report [63] and holds promise as an alternative imaging modality since it facilitates intracardiac catheter placement through direct "to the side" visualization from the catheter tip. TTEguided endomyocardial biopsy has been used to guide bioptome positioning during postcardiac transplant biopsy [64] and in two cases of cardiac tumor [65,66], but the addition of transesophageal [20,38,[67][68][69][70][71][72][73][74][75][76][77] imaging increases further confidence that tissue samples originate from the tumor and reduces the likelihood of complications. Precision is augmented to the point that highly mobile masses [73] and vegetations [74] have been biopsied using combined TEE and fluoroscopic guidance.…”

Section: Discussionmentioning

confidence: 99%

Primary cardiac lymphoma diagnosed by percutaneous intracardiac biopsy with combined fluoroscopic and transesophageal echocardiographic imaging

Jurkovich

Marchena

Bilsker

et al. 2000

Cathet. Cardiovasc. Intervent.

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Primary cardiac tumors have very low prevalence with cardiac lymphoma, being one of the rarest forms. Several recent reports have shown transesophageal echocardiography to be an accurate technique for characterizing and localizing these neoplasms, with results comparable to CT and MRI scans. Transvenous intracardiac tumor biopsy has been employed as a minimally invasive technique to obtain tissue samples. The addition of transesophageal echocardiographic (TEE) guidance to this process has increased the accuracy of obtaining diagnostic specimens while improving patient safety. We review published cases of this relatively new technique using combined fluoroscopic and TEE guidance and present a case of primary cardiac lymphoma diagnosed by this method. The patient achieved complete tumor remission after treatment with standard chemotherapy and remains fully functional 32 months after initial diagnosis. Cathet. Cardiovasc. Intervent. 50:226–233, 2000. © 2000 Wiley‐Liss, Inc.

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Transesophageal echocardiographically guided percutaneous biopsy of a right atrial cardiac mass

Cited by 15 publications

References 4 publications

Transesophageal Echocardiography‐Guided Transvenous Biopsy of an Intracardiac Tumor

Transesophageal Echocardiography‐Guided Transvenous Biopsy of an Intracardiac Tumor

Transvenous Biopsy of Cavo-Atrial Tumors with the Quick-Core Needle

Primary cardiac lymphoma diagnosed by percutaneous intracardiac biopsy with combined fluoroscopic and transesophageal echocardiographic imaging

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