Radial versus Femoral Approach for Left Ventricular Endomyocardial Biopsy

Tawfiq  Choudhury; Philipp  Lurz; Tim G.  Schaufele; Miguel N.  Menezes; Shahar  Lavi; Nikolaos  Tzemos; Philipp  Hartung; Thomas  Stiermeier; Katsutoshi  Makino; Olivier F.  Bertrand; Ian C.  Gilchrist; Mamas A.  Mamas; Rodrigo  Bagur

doi:10.4244/EIJ-D-18-01061

Radial versus Femoral Approach for Left Ventricular Endomyocardial Biopsy

Tawfiq Choudhury, Philipp Lurz, Tim G. Schaufele, Miguel N. Menezes, Shahar Lavi, Nikolaos Tzemos, Philipp Hartung, Thomas Stiermeier, Katsutoshi Makino, Olivier F. Bertrand, Ian C. Gilchrist, Mamas A. Mamas, Rodrigo Bagur

Clinic of Internal Medicine II - Cardiology

Abstract

AIMS Left ventricular endomyocardial biopsy (LV-EMB) is mostly performed via the femoral artery. We assessed the feasibility and safety of radial versus femoral access in patients undergoing LV-EMB. METHODS AND RESULTS 264 patients from four countries undergoing LV-EMB were collected. Clinical, procedural, safety and feasibility data were compared between groups. LV-EMB was successfully performed via radial approach in 129 (99%) of 130 and 134 (100%) patients by femoral access. Patients in the radial group were older (55.7 versus 44.3 years) and more likely to have moderate-severe mitral regurgitation (27.7% versus transfemoral 0%). Sheathless guides were used in 108 (83.1%) radial and 2 (1.5%) femoral patients; the mean guiding catheter size (radial 7.0±1.0-French versus femoral 8.0±0.1-French, P

Original language	English
Journal	EuroIntervention
ISSN	1774-024X
DOIs	https://doi.org/10.4244/EIJ-D-18-01061
Publication status	Published - 12.02.2019

Research Areas and Centers

Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Radial versus Femoral Approach for Left Ventricular Endomyocardial Biopsy",

abstract = "AIMS Left ventricular endomyocardial biopsy (LV-EMB) is mostly performed via the femoral artery. We assessed the feasibility and safety of radial versus femoral access in patients undergoing LV-EMB. METHODS AND RESULTS 264 patients from four countries undergoing LV-EMB were collected. Clinical, procedural, safety and feasibility data were compared between groups. LV-EMB was successfully performed via radial approach in 129 (99%) of 130 and 134 (100%) patients by femoral access. Patients in the radial group were older (55.7 versus 44.3 years) and more likely to have moderate-severe mitral regurgitation (27.7% versus transfemoral 0%). Sheathless guides were used in 108 (83.1%) radial and 2 (1.5%) femoral patients; the mean guiding catheter size (radial 7.0±1.0-French versus femoral 8.0±0.1-French, P",

author = "Tawfiq Choudhury and Philipp Lurz and Schaufele, {Tim G.} and Menezes, {Miguel N.} and Shahar Lavi and Nikolaos Tzemos and Philipp Hartung and Thomas Stiermeier and Katsutoshi Makino and Bertrand, {Olivier F.} and Gilchrist, {Ian C.} and Mamas, {Mamas A.} and Rodrigo Bagur",

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day = "12",

doi = "10.4244/EIJ-D-18-01061",

language = "English",

journal = "EuroIntervention",

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TY - JOUR

T1 - Radial versus Femoral Approach for Left Ventricular Endomyocardial Biopsy

AU - Choudhury, Tawfiq

AU - Lurz, Philipp

AU - Schaufele, Tim G.

AU - Menezes, Miguel N.

AU - Lavi, Shahar

AU - Tzemos, Nikolaos

AU - Hartung, Philipp

AU - Stiermeier, Thomas

AU - Makino, Katsutoshi

AU - Bertrand, Olivier F.

AU - Gilchrist, Ian C.

AU - Mamas, Mamas A.

AU - Bagur, Rodrigo

PY - 2019/2/12

Y1 - 2019/2/12

N2 - AIMS Left ventricular endomyocardial biopsy (LV-EMB) is mostly performed via the femoral artery. We assessed the feasibility and safety of radial versus femoral access in patients undergoing LV-EMB. METHODS AND RESULTS 264 patients from four countries undergoing LV-EMB were collected. Clinical, procedural, safety and feasibility data were compared between groups. LV-EMB was successfully performed via radial approach in 129 (99%) of 130 and 134 (100%) patients by femoral access. Patients in the radial group were older (55.7 versus 44.3 years) and more likely to have moderate-severe mitral regurgitation (27.7% versus transfemoral 0%). Sheathless guides were used in 108 (83.1%) radial and 2 (1.5%) femoral patients; the mean guiding catheter size (radial 7.0±1.0-French versus femoral 8.0±0.1-French, P

AB - AIMS Left ventricular endomyocardial biopsy (LV-EMB) is mostly performed via the femoral artery. We assessed the feasibility and safety of radial versus femoral access in patients undergoing LV-EMB. METHODS AND RESULTS 264 patients from four countries undergoing LV-EMB were collected. Clinical, procedural, safety and feasibility data were compared between groups. LV-EMB was successfully performed via radial approach in 129 (99%) of 130 and 134 (100%) patients by femoral access. Patients in the radial group were older (55.7 versus 44.3 years) and more likely to have moderate-severe mitral regurgitation (27.7% versus transfemoral 0%). Sheathless guides were used in 108 (83.1%) radial and 2 (1.5%) femoral patients; the mean guiding catheter size (radial 7.0±1.0-French versus femoral 8.0±0.1-French, P

UR - https://www.ncbi.nlm.nih.gov/pubmed/30741639

UR - http://www.mendeley.com/research/radial-versus-femoral-approach-left-ventricular-endomyocardial-biopsy

U2 - 10.4244/EIJ-D-18-01061

DO - 10.4244/EIJ-D-18-01061

M3 - Journal articles

SN - 1774-024X

JO - EuroIntervention

JF - EuroIntervention

ER -

Radial versus Femoral Approach for Left Ventricular Endomyocardial Biopsy

Abstract

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