Safety evaluation of high-risk myocardial micro-biopsy in a swine model.


Journal

Heart and vessels
ISSN: 1615-2573
Titre abrégé: Heart Vessels
Pays: Japan
ID NLM: 8511258

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 28 07 2021
accepted: 12 11 2021
pubmed: 24 11 2021
medline: 7 4 2022
entrez: 23 11 2021
Statut: ppublish

Résumé

The objective of the study was to investigate the safety profile of high-risk micro-endomyocardial biopsy (micro-EMB) compared to conventional EMB in a large animal model. Twenty pigs were subjected to a maximum of 30 consecutive biopsies, including sampling from the free ventricular wall, with either micro-EMB (n = 10) or conventional EMB (n = 10). There were no major complications in the micro-EMB group (0/10), compared to six major complications in the EMB group (6/10; p = 0.003). Survival analysis further highlighted these differences (p = 0.004). There were significantly higher volumes of pericardial effusion in the EMB group (p = 0.01). The study shows a safety advantage of micro-EMB compared to standard EMB in the experimental high-risk circumstances investigated in this animal study. These results indicate enhanced possibilities to collect samples from sensitive areas by using the micro-EMB technique instead of standard EMB.

Identifiants

pubmed: 34812914
doi: 10.1007/s00380-021-01995-9
pii: 10.1007/s00380-021-01995-9
pmc: PMC8917023
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

697-704

Informations de copyright

© 2021. The Author(s).

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Auteurs

Arvin Chireh (A)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Mikael Sandell (M)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Division of Micro and Nanosystems, Royal Institute of Technology, Stockholm, Sweden.
MedTechLabs, Solna, Sweden.

Rikard Grankvist (R)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Victoria Lövljung (V)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Jonathan Al-Saadi (J)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Fabian Arnberg (F)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden.

Johan Lundberg (J)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden.

Magnus Settergren (M)

Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
Department of Medicine, Karolinska Institutet, Stockholm, Sweden.

Staffan Holmin (S)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. staffan.holmin@ki.se.
Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden. staffan.holmin@ki.se.

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Classifications MeSH