Use of the left internal jugular vein approach in endomyocardial biopsy

Hauptman, Paul J.; Selwyn, Andrew P.; Cooper, Christopher J.

doi:10.1002/ccd.1810320110

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…9 This procedure was successfully performed in a series of patients under fluoroscopic guidance using a rigid biotome apparently without complications; nevertheless, the authors underlined several limitations of this technique related to the presence of acute venous angles between the LIJV and the right atrium and difficulties during manipulation of the bioptome. 9 The LIJV was used thereafter in a limited number of cases in either pediatric or adult recipients. 10,11 In the subsequent years, new bioptomes have been developed which are more flexible and with more extended length, thus easily overcoming possible anatomical barriers, reducing EMB-related complications and increasing the diagnostic efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…The use of the LIJV for EMB was first proposed almost 30 years ago by Hauptman et al but subsequently did not receive enough attention 9 . This procedure was successfully performed in a series of patients under fluoroscopic guidance using a rigid biotome apparently without complications; nevertheless, the authors underlined several limitations of this technique related to the presence of acute venous angles between the LIJV and the right atrium and difficulties during manipulation of the bioptome 9 . The LIJV was used thereafter in a limited number of cases in either pediatric or adult recipients 10,11 .…”

Section: Discussionmentioning

confidence: 99%

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Endomyocardial biopsy through the left internal jugular vein in heart transplant recipients: a single center experience

Nalli,

Sponga,

Benedetti

et al. 2024

Journal of Cardiovascular Medicine

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Endomyocardial biopsies for rejection monitoring after heart transplantation are generally performed through the right internal jugular vein. We aimed to assess the feasibility and safety of using the left internal jugular vein approach as a valid alternative to a femoral vein for endomyocardial biopsies whenever thrombosis of the right internal jugular vein precludes insertion of a bioptome. We have reviewed our experience with heart transplantation in the last 2 decades to identify patients in whom surveillance endomyocardial biopsy was performed through the left internal jugular vein. We herein describe the step-by-step procedure and report the preliminary results. From May 1, 2000 to January 31, 2024, 561 orthotopic heart transplants have been performed in our unit. In 49 patients (8.7%), the right internal jugular vein access was found to be unsuitable or occluded at eco-Doppler evaluation; in 15 of them (30%) a total of 206 endomyocardial biopsies have been performed, using the left internal jugular vein, without complications. Our experience demonstrates that the left internal jugular vein is a valid alternative approach for endomyocardial biopsies when the right internal jugular vein is not available. This technique is feasible, safe and reproducible and allows adequate rejection monitoring after heart transplantation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endomyocardial biopsy through the left internal jugular vein in heart transplant recipients: a single center experience

Nalli,

Sponga,

Benedetti

et al. 2024

Journal of Cardiovascular Medicine

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A new method for right ventricular endomyocardial biopsy via femoral veins: a novel approach employing a right ventriculography catheter (Nishiya type)

et al. 1998

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We have devised a new method for right ventricular endomyocardial biopsy, in which the use of a right ventriculography catheter (Nishiya Type) allows us to ensure the introduction of a guiding sheath (Cordis, right-angled long sheath) to the apical portion of the right ventricle by way of the femoral vein. With this method, we have biopsied the endomyocardium in 52 patients during the last 4 years. In each case, it only took us several minutes to complete the biopsy procedure. Neither failed applications nor significant complications were seen. We believe that this technique provides a clinically beneficial means as it enables us to readily and safely achieve right ventricular endomyocardial biopsy.

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Real-Time Sonography in Central Venous Access for Endomyocardial Biopsy in Cardiac Transplantation Patients

Olivier

Copeland

2007

Journal of the American College of Surgeons

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Use of the left internal jugular vein approach in endomyocardial biopsy

Abstract: Endomyocardial biopsy is conventionally performed by accessing the right internal jugular vein. The alternative approach is via the femoral veins. We describe the safe and effective use of the left internal jugular vein with a standard Caves-Schulz bioptome.

Cited by 4 publications

References 4 publications

Endomyocardial biopsy through the left internal jugular vein in heart transplant recipients: a single center experience

Endomyocardial biopsy through the left internal jugular vein in heart transplant recipients: a single center experience

A new method for right ventricular endomyocardial biopsy via femoral veins: a novel approach employing a right ventriculography catheter (Nishiya type)

Real-Time Sonography in Central Venous Access for Endomyocardial Biopsy in Cardiac Transplantation Patients

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