Intracardiac EUS-B-Guided FNA for Diagnosing Cardiac Tumors

Martinez, Haizea Alvarez; Kuijvenhoven, Jolanda C.; Annema, Jouke T.

doi:10.1159/000516504

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…Moreover, two case reports of Endoscopic ultrasound with bronchoscope-guided fine-needle aspiration (EUS-B-FNA) of left atrial masses has been successfully performed in which cardiac surgery was hazardous due to the comorbidity or previous surgical interventions. The cytopathology confirmed the diagnosis of a Burkitt lymphoma and a synovial sarcoma [33].…”

Section: Eus-guided Cardiovascular Interventionsmentioning

confidence: 54%

The Role of Endosongraphy in Cardiology: Clinical Applications

Elhakim,

Karkour,

Sauter

et al. 2023

Preprint

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Background: Ultrasonography in medicine allows real time “dynamic” assessment of structure where the procedure takes place. This feature and design could be more advantageous than radiological “static” view imaging. Thus, it is the convincing imaging tool for many structural cardiovascular and gastrointestinal interventions. Technically, the image resolution for Endosonography (EUS) is noticeably higher than that of transesophageal echocardiography (TOE). The benefits of investigating the cardiovascular structures using this high-resolution endoscope are unknown. Clinical applications: We present clinical applications of incidentally diagnosed cardiovascular structures, which demonstrated during routine gastrointestinal endosonographic procedures. These diagnoses could influence changes in management strategies. Discussion: The introduction of high resolution endosonography (EUS) in cardiology allows "panoramic" and “dynamic” real-time assessment of cardiovascular structures with an accurate definition of the variable cardiovascular anatomy. Using this advantage during routine gastrointestinal procedures allows for the early detection of asymptomatic cardiac pathologies and accompanying diseases, prevents double investigations for patients and operators, eliminates the risk of esophageal trauma, highlights interdisciplinary teamwork benefits, and could facilitate in the future the indications for cardiac-based structural procedures, which could influence management strategies with improved safety, efficacy, and economic outcomes. Conclusion: The introduction of endosonography (EUS) in cardiology provide high-resolution real-time assessments of cardiovascular anatomy. Thus, it can be used for early detections of variable cardiovascular pathologies during routine gastrointestinal procedures.

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Section: Eus-guided Cardiovascular Interventionsmentioning

confidence: 54%

The Role of Endosongraphy in Cardiology: Clinical Applications

Elhakim,

Karkour,

Sauter

et al. 2023

Preprint

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“…However, in patients with poor clinical conditions, endosonography could represent a minimally invasive technique to perform a diagnosis, seeing that it provides an excellent view of the left atrium. Two cases of EUS-B-FNA of left atrial masses have been reported with high accuracy and no adverse events [91].…”

Section: Pleural and Cardiac Lesionsmentioning

confidence: 99%

Clinical Applications of Endobronchial Ultrasound (EBUS) Scope: Challenges and Opportunities

Biondini,

Tinè,

Semenzato

et al. 2023

Diagnostics

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Endobronchial Ultrasound (EBUS) has been widely used to stage lung tumors and to diagnose mediastinal diseases. In the last decade, this procedure has evolved in several technical aspects, with new tools available to optimize tissue sampling and to increase its diagnostic yield, like elastography, different types of needles and, most recently, miniforceps and cryobiopsy. Accordingly, the indications for the use of the EBUS scope into the airways to perform the Endobronchial Ultrasound–TransBronchial Needle Aspiration (EBUS-TBNA) has also extended beyond the endobronchial and thoracic boundaries to sample lesions from the liver, left adrenal gland and retroperitoneal lymph nodes via the gastroesophageal tract, performing the Endoscopic UltraSound with Bronchoscope-guided Fine Needle Aspiration (EUS-B-FNA). In this review, we summarize and critically discuss the main indication for the use of the EBUS scope, even the more uncommon, to underline its utility and versatility in clinical practice.

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“…While a percutaneous needle biopsy could have been performed to confirm left atrial invasion, EUS‐B‐FNA allowed for minimally invasive and simultaneous diagnosis and evaluation of the degree of invasion by echocardiography, which resulted in prompt initiation of chemotherapy. Thus, EUS‐B‐FNA may be useful for evaluating and diagnosing tumours with cardiac invasion 2 …”

Section: Clinical Imagementioning

confidence: 99%