The efficacy and safety of electroanatomic mapping-guided endomyocardial biopsy: a systematic review

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Vaibhav R VaidyaAbhishek J Deshmukh

Abstract

Electroanatomic mapping (EAM) has been utilized as a modality to improve the sensitivity of endomyocardial biopsy (EMB). We sought to systematically review published medical literature on the efficacy and safety of EAM-guided EMB. We searched Ovid MEDLINE, Ovid Embase, Ovid CDR, Cochrane Central, Scopus, and Web of Science for studies where EAM was used for EMB. Data abstracted included demographics, indications, final diagnoses, histology findings, and technical details of biopsy extraction. Test characteristics including sensitivity (Se), specificity (Sp), and area under curve (AUC) were calculated on a per-patient and per-biopsy level. Seventeen studies (9 case series, 8 case reports) were included in this systematic review. EAM-guided EMB was performed in 148 patients and results of 207 individual biopsies were available for analysis. The most common indications for EAM-guided EMB were suspected arrhythmogenic right ventricular cardiomyopathy (ARVC), myocarditis, and cardiac sarcoidosis (CS). The pooled sensitivity and specificity for EAM-guided EMB for the diagnosis of cardiomyopathies (ARVC, myocarditis, CS, and other specific diagnoses) were 92 and 58% on per-biopsy analysis and 100 and 39% on per-patient analysis. Among...Continue Reading

References

Jan 27, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Koichiro EjimaNobuhisa Hagiwara
Jul 26, 2011·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Antonio Dello RussoClaudio Tondo
Dec 19, 2012·The Canadian Journal of Cardiology·Pablo B NeryDavid H Birnie
May 2, 2013·International Journal of Cardiology·Peter SeizerJürgen Schreieck
Nov 18, 2014·European Heart Journal·Felix Mahfoud, Thomas Felix Lüscher
Mar 4, 2015·Therapeutic Advances in Cardiovascular Disease·Tomas KonecnySamuel Asirvatham
Oct 21, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Dirk G DecheringLars Eckardt

❮ Previous
Next ❯

Citations

May 24, 2019·Circulation Research·Carsten TschöpeSophie Van Linthout
Jul 26, 2019·Current Opinion in Pulmonary Medicine·Vasileios KouranosRakesh Sharma
Jul 20, 2019·Annals of the American Thoracic Society·Manuel L Ribeiro NetoDaniel A Culver
Feb 7, 2020·Journal of Cardiovascular Electrophysiology·Gurukripa N Kowlgi, Abhishek J Deshmukh
Apr 16, 2020·American Journal of Respiratory and Critical Care Medicine·Elliott D CrouserRobert P Baughman
Jun 28, 2020·Seminars in Respiratory and Critical Care Medicine·David H Birnie
Jul 19, 2020·Pacing and Clinical Electrophysiology : PACE·Maurizio PieroniLeonardo Bolognese
Feb 8, 2020·Cardiology in Review·Amer SayedJason T Jacobson
Sep 9, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jarieke C HoogendoornKatja Zeppenfeld
Mar 21, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Jackson J LiangSaman Nazarian
Aug 1, 2019·Current Opinion in Pulmonary Medicine·Vasileios KouranosRakesh Sharma
Oct 14, 2020·Nature Reviews. Cardiology·Carsten TschöpeSophie Van Linthout
Feb 11, 2021·Journal of Clinical Medicine·Ainoosh GolpourBettina Heidecker
May 16, 2021·Cardiac Electrophysiology Clinics·Marco BergontiClaudio Tondo
May 25, 2021·CJC Open·Omid Kiamanesh, Mustafa Toma
Jun 5, 2020·Trends in Cardiovascular Medicine·Enrico AmmiratiMaria Frigerio
Jul 28, 2021·Journal of Cardiovascular Electrophysiology·Fatima M EzzeddineKonstantinos C Siontis
Dec 30, 2021·Pacing and Clinical Electrophysiology : PACE·Emin Evren OzcanMustafa Dogdus
Jan 28, 2022·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Kathleen A YoungJohn P Bois

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmogenic Right Ventricular Dysplasia

Arrhythmogenic right ventricular dysplasia is a congenital cardiomyopathy that is characterized by infiltration of adipose and fibrous tissue into the right ventricle wall and loss of myocardial cells. Primary injuries usually are at the free wall of the right ventricular and right atria resulting in ventricular and supraventricular arrhythmias. Discover the latest research on arrhythmogenic right ventricular dysplasia here.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.