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Europace Advance Access originally published online on January 24, 2009
Europace 2009 11(3):388-389; doi:10.1093/europace/eun357
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORTS

Targeted endomyocardial biopsy using electroanatomical voltage mapping in the early stage of arrhythmogenic right ventricular cardiomyopathy

Koichiro Ejima, Morio Shoda*, Tetsuyuki Manaka and Nobuhisa Hagiwara

Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan

Endomyocardial biopsy (EMB) is useful for making a diagnosis of cardiomyopathy. However, the sensitivity of conventional EMB specimens from the interventricular septum is low in arrhythmogenic right ventricular cardiomyopathy (ARVC), especially in the early stage, because of the limited location of the affected tissue. Therefore, it is important to be able to target only the affected tissue in order to improve the sensitivity of the EMB, especially in the early stage of ARVC. A significant correlation between the low voltage areas identified by the electroanatomical voltage mapping (EVM) and abnormal findings from the EMB in ARVC has been reported. We describe an innovative strategy for performing EMB, using EVM to identify the local affected area and to perform a selective EMB from that area.

* Corresponding author: 8-1, Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan. Tel: +81 3 3353 8111, Fax: +81 3 3356 0414, Email: mshoda.mac{at}mac.com


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This article has been cited by other articles:


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A. Avella, G. d'Amati, and C. Tondo
Diagnosis of arrhythmogenic right ventricular cardiomyopathy: the role of endomyocardial biopsy guided by electroanatomic voltage map
Europace, July 1, 2009; 11(7): 970 - 970.
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K. Ejima, M. Shoda, T. Manaka, and N. Hagiwara
Diagnosis of arrhythmogenic right ventricular cardiomyopathy: the role of endomyocardial biopsy guided by electroanatomic voltage map: reply
Europace, July 1, 2009; 11(7): 970 - 971.
[Full Text] [PDF]


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