Successful percutaneous retrieval of a dislodged left atrial appendage occlusion device with double transseptal sheaths and biopsy bioptome
The biopsy is done using fluoroscopic guidance via a right internal jugular vein approach with specimens obtained from inside the right ventricle using a long biopsy forcep or bioptome
However, with the advent of long flexible bioptome, femoral approach can also be employed.
Finding it difficult to negotiate the bioptome through inferior vena cava, that is usually uncustomary, it was decided to use mullein sheath at first stance.
The characteristic features of HCM are often located deep within the septum and are inaccessible to the bioptome
At the end of the catheter is a bioptome
, a tiny instrument used to snip off a piece of tissue.
This highly invasive procedure requires a small bioptome
to be inserted into the heart were 4-8 small biopsies are taken.
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