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


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 languageEnglish
Publication statusPublished - 12.02.2019

Research Areas and Centers

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


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