Myocardial biopsies

A myocardial biopsy is a medical procedure in which small tissue samples are taken directly from the heart muscle, often using a specialized catheter that is guided through the veins to the heart. This procedure is typically used to diagnose unclear cases of heart muscle diseases, including myocarditis and cardiomyopathies, and can be crucial in determining the appropriate treatment for conditions that cannot be clarified by other diagnostic methods.

Interesting facts about myocardial biopsies

Do you have any questions about our heart and vascular examinations? Here you will find answers to frequently asked questions. If you have any further questions, please contact us here.

What is a myocardial biopsy and why is it performed?

A myocardial biopsy is a procedure in which small tissue samples are taken from the heart muscle. It is performed to more accurately diagnose specific heart diseases such as myocarditis, cardiomyopathies, or rejection reactions after a heart transplant when other tests do not provide clear results.

How long does a myocardial biopsy take and do I need special aftercare?

A myocardial biopsy usually takes about 30 to 60 minutes, depending on the specific circumstances of the procedure. After the biopsy, patients often have to stay in the hospital for several hours for monitoring to ensure that no complications such as bleeding or heart rhythm disturbances occur. Patients receive detailed aftercare instructions, including information about activities they should avoid and symptoms to watch for.

How is a myocardial biopsy performed?

The biopsy is typically performed under local anesthesia, with a biopsy catheter guided through a vein, often in the groin, to the heart. Under imaging guidance, usually fluoroscopy, the doctor takes small tissue samples from the heart muscle, which are then sent for analysis.

What are the risks associated with a myocardial biopsy?

Although myocardial biopsy is considered a safe procedure, it carries potential risks, including bleeding, infection, heart rhythm disturbances, and, in very rare cases, perforation of the heart muscle or adjacent structures. The exact risks can vary depending on the patient’s health condition and the specific technique.

What happens after a myocardial biopsy?

After a myocardial biopsy, patients are usually kept in the hospital for monitoring to ensure that no immediate complications occur. The collected tissue samples are examined by pathologists, and the results help clarify the diagnosis and determine the appropriate treatment. Patients receive specific aftercare instructions and may have follow-up appointments for further evaluation and treatment.

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