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MMCTS (November 10, 2006). doi:10.1510/mmcts.2005.001149
Copyright © 2006 European Association for Cardio-thoracic Surgery

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Juliane Kilo
Herwig Antretter
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Right arrow Orthotopic heart transplantation (adults)
 

Procedure


Endomyocardial biopsy – jugular/subclavian vein approach

Juliane Kilo*, Guenther Laufer and Herwig Antretter

Department of Cardiac Surgery, Medical University Innsbruck, Anichstr. 35, 6020 Innsbruck, Austria

* Corresponding author: * Tel.: +43-512-504-23806; fax: +43-512-504-22528. E-mail: juliane.kilo{at}uklibk.ac.at

Endomyocardial biopsy (EMB) is a diagnostic procedure mainly to survey the sufficiency of immunosuppressive therapy after cardiac transplantation. Other indications for EMB remain controversial. After insertion of an introducer sheet in Seldinger's technique, four to six biopsies are taken from the right ventricle by fluoroscopic guidance. EMB is a very safe operation with a low complication rate which can be rapidly performed with little inconvenience for the patient if performed by a skilled surgeon.

Key Words: Endomyocardial biopsy • Cardiac transplantation • Rejection monitoring

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Copyright © 2006 by The European Association for Cardio-thoracic Surgery.