XU Xiqi, TIAN Zhuang, FANG Quan, JING Zhicheng, ZHANG Shuyang. Standard Operation Procedure of Percutaneous Endomyocardial Biopsyin Peking Union Medical College Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 322-327. DOI: 10.12290/xhyxzz.2021-0161
Citation: XU Xiqi, TIAN Zhuang, FANG Quan, JING Zhicheng, ZHANG Shuyang. Standard Operation Procedure of Percutaneous Endomyocardial Biopsyin Peking Union Medical College Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 322-327. DOI: 10.12290/xhyxzz.2021-0161

Standard Operation Procedure of Percutaneous Endomyocardial Biopsyin Peking Union Medical College Hospital

Funds: 

National Key Research and Development Program of China 2016YFC0901502

CAMS Innovation Fund for Medical Sciences 2016-I2M-1-002

More Information
  • Corresponding author:

    ZHANG Shuyang  Tel: 86-10-69155810, E-mail: shuyangzhang103@163.com

  • Received Date: February 02, 2021
  • Accepted Date: February 04, 2021
  • Available Online: February 04, 2021
  • Issue Publish Date: May 29, 2021
  • Percutaneous endomyocardial biopsy (EMB) is a technique that biopsy samples are obtained using the bioptome through a peripheral blood vessel. The technique has been used and refined for more than 50 years in clinical application. Now EMB has become an important tool of the diagnosis of myocarditis and cardiomyopathy. The department of cardiology of Peking Union Medical College Hospital (PUMCH) has performed more than 500 cases of EMB and accumulated abundant practical experience. The clinical practice guideline of percutaneous EMB was also established in PUMCH, including indications, contradictions, key points of the operation, sample handling and processing, post-procedure monitoring, and the treatment strategy for potential complications, etc. Due to the limitation of EMB, cardiologists should collaborate with experts on echocardiography, cardiac magnetic resonance and cardiac pathology to decrease the probability of missed diagnosis and misdiagnosis. Cardiologists should pay much attention to the value of EMB and actively perform EMB to improve the diagnosis level of myocarditis and cardiomyopathy in China.
  • [1]
    Weinberg M, Fell EH, Lynfield J. Diagnostic biopsy of the pericardium and myocardium[J]. AMA Arch Surg, 1958, 76: 825-829. DOI: 10.1001/archsurg.1958.01280230165025
    [2]
    Sutton DC, Sutton GC. Needle biopsy of the human ventricular myocardium: review of 54 consecutive cases[J]. Am Heart J, 1960, 60: 364-370. DOI: 10.1016/0002-8703(60)90195-2
    [3]
    Sakakibara S, Konno S. Endomyocardial biopsy[J]. Jpn Heart J, 1962, 3: 537-543. DOI: 10.1536/ihj.3.537
    [4]
    Caves PK, Stinson EB, Graham AF, et al. Percutaneous transvenous endomyocardial biopsy[J]. JAMA, 1973, 225: 288-291. DOI: 10.1001/jama.1973.03220300044010
    [5]
    孙济川, 叶复来, 张宝珍, 等. 心内膜-心肌活检的临床应用(11例报告)[J]. 西安交通大学学报(医学版), 1982, 3: 662-664. https://www.cnki.com.cn/Article/CJFDTOTAL-XAYX198201018.htm
    [6]
    王璞, 朴镇恩, 马玉芹, 等. 心内膜心肌活体组织检查的临床应用[J]. 黑龙江医药, 1982: 1-5, 50. https://www.cnki.com.cn/Article/CJFDTOTAL-HLYX198212000.htm
    [7]
    饶邦复, 林琦, 马才骊, 等. 心内膜心肌导管活检临床应用的初步报告[J]. 重庆医学院学报, 1983: 40-43. https://www.cnki.com.cn/Article/CJFDTOTAL-ZQYK198302010.htm
    [8]
    焦溥蕙, 方圻, 陈维政, 等. 心内膜心肌活检的应用[J]. 中国医学科学院学报, 1987, 9: 470-472. DOI: 10.3321/j.issn:1000-503X.1987.06.019
    [9]
    Ferrans VJ, Roberts WC. Myocardial biopsy: a useful diagnostic procedure or only a research tool? [J]. Am J Cardiol, 1978, 41: 965-967. DOI: 10.1016/0002-9149(78)90741-5
    [10]
    Thiene G, Bruneval P, Veinot J, et al. Diagnostic use of the endomyocardial biopsy: a consensus statement[J]. Virchows Arch, 2013, 463: 1-5. DOI: 10.1007/s00428-013-1430-4
    [11]
    Holzmann M, Nicko A, Kühl U, et al. Complication rate of right ventricular endomyocardial biopsy via the femoral approach: a retrospective and prospective study analyzing 3048 diagnostic procedures over an 11-year period[J]. Circulation, 2008, 118: 1722-1728. DOI: 10.1161/CIRCULATIONAHA.107.743427
    [12]
    From AM, Maleszewski JJ, Rihal CS. Current status of endomyocardial biopsy[J]. Mayo Clin Proc, 2011, 86: 1095-1102. DOI: 10.4065/mcp.2011.0296
    [13]
    Cooper LT, Baughman KL, Feldman AM, et al. The role of endomyocardial biopsy in the management of cardiovascular disease: a scientific statement from the American Heart Association, the American College of Cardiology, and the European Society of Cardiology Endorsed by the Heart Failure Society of America and the Heart Failure Association of the European Society of Cardiology[J]. Eur Heart J, 2007, 28: 3076-3093. DOI: 10.1093/eurheartj/ehm456
    [14]
    Francis R, Lewis C. Myocardial biopsy: techniques and indications[J]. Heart, 2018, 104: 950-958. DOI: 10.1136/heartjnl-2017-311382
    [15]
    中华医学会心血管病学分会肺血管病学组, 中华心血管病杂志编辑委员会. 中国肺高血压诊断和治疗指南2018[J]. 中华心血管病杂志, 2018, 46: 933-964. DOI: 10.3760/cma.j.issn.0253-3758.2018.12.006
    [16]
    黄洁, 杨跃进, 尹栋, 等. 心内膜心肌活检439例次的安全性分析[J]. 中华心血管病杂志, 2010, 38: 43-46.
  • Related Articles

    [1]CHEN Yingyu, WANG Ou, XING Xiaoping. Genetic and Clinical Characteristics of Pediatric Primary Hyperparathyroidism[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0731
    [2]TIAN Kunling, CHEN Chuanning. Notch Signaling Pathway and Congenital Heart Disease[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(3): 649-654. DOI: 10.12290/xhyxzz.2023-0594
    [3]WANG Pu, XIA Yin. Genetics of Head and Neck Paragangliomas[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 977-982. DOI: 10.12290/xhyxzz.2021-0588
    [4]Xu HAN, Wen-hui LOU. Advances in Research on Genotyping and the Molecular Mechanism of Pancreatic Neuroendocrine Neoplasias[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(4): 377-382. DOI: 10.3969/j.issn.1674-9081.2020.04.004
    [5]Hai-jing WU, Si-qi FU, Qian-wen LI, Hui-ming ZHANG, Qian-jin LU, Zhong GUO. Biomarkers of Melanoma: from Genetics to Epigenetics[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(1): 60-68. DOI: 10.3969/j.issn.1674-9081.2018.01.012
    [6]Qi-pu WANG, Lan ZHU. Genetic Study of Pelvic Organ Prolapse[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(2-3): 178-182. DOI: 10.3969/j.issn.1674-9081.2017.03.017
    [7]Cardiovascular Intervention: A Companion to Braunwald's Heart Disease(2016)[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(1): 65-65.
    [8]MAIMAITI Nu-rong-gu-li, Hua-bing ZHANG, Xiao-ping XING. Clinical and Genetic Analysis of a Uyghur Patient with Gitelman's Syndrome[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(6): 427-431. DOI: 10.3969/j.issn.1674-9081.2015.06.006
  • Cited by

    Periodical cited type(4)

    1. 邢菊,代永志,李海鹏,许新,逯素艳,王新彦,邢忠兴. 频谱多普勒超声评估胎儿肺静脉对胎儿完全性肺静脉异位引流的诊断价值. 转化医学杂志. 2024(05): 758-761 .
    2. 陈昌秀,赵颉,张雪梅,冯露,王渝娜. 中孕早期胎儿心脏超声检查在先天性心脏病筛查中的价值分析. 实用医院临床杂志. 2023(01): 36-40 .
    3. 赵雷生,田嘉禾,张志芳,张玉奇,陈丽君. 冠状动脉瘘的产前超声心动图诊断价值. 医学影像学杂志. 2023(05): 759-762 .
    4. 李沆. 健康管理模式辅助超声检查在早期甲状腺癌筛查中的应用价值分析. 黑龙江医学. 2023(18): 2229-2231 .

    Other cited types(1)

Catalog

    Article Metrics

    Article views (1612) PDF downloads (437) Cited by(5)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close