{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T12:01:59Z","timestamp":1784721719989,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endomyocardial biopsy (EMB) is a complementary invasive procedure for the diagnosis of several cardiac diseases. New technical developments are needed to increase the safety of the procedure even in low\u2010volume centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively enrolled patients who underwent EMB in our institution, which is a non\u2010heart transplant tertiary care center. Patients were divided into two groups according to the use of a standard long sheath (S\u2010T) or a three\u2010dimensional sheath (3D\u2010T). The latter was originally designed for conduction system pacing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 30 patients in the S\u2010T group and 16 in the 3D\u2010T group. Patients in the 3D\u2010T group were older (65\u2009\u00b1\u200919 vs. 52\u2009\u00b1\u200920,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) and more likely to have ischaemic heart disease (25% vs. 0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011). Indications for EMB were similar in both groups except for a higher proportion of amyloidosis in the 3D\u2010T group (56% vs. 17%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). The total number of collected samples (10\u2009\u00b1\u20092 vs. 11\u2009\u00b1\u20093), their dimensions (1.3\u2009\u00b1\u20090.6\u2009mm\u2009x\u20091\u2009\u00b1\u20090.3\u2009mm vs. 1.7\u2009\u00b1\u20090.6\u2009mm\u2009x\u20091.2\u2009\u00b1\u20090.4\u2009mm) and the proportion of specimens meeting the quality standard to be analyzed (76%\u2009\u00b1\u200926% vs. 83%\u2009\u00b1\u200925%) didn't differ between 3D\u2010T and S\u2010T (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009ns). Pericardial effusion or cardiac tamponade was more frequent in the S\u2010T group compared to the 3D\u2010T group (23% vs. 0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.078). There were five cardiac tamponades in the S\u2010T group and none in the 3D\u2010T group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of a 3D sheath for EMB of the right ventricular septum was feasible and safe with similar diagnostic accuracy compared to the standard long sheath technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70064","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T06:39:08Z","timestamp":1753943948000},"page":"2263-2269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Safety of a Three\u2010Dimensional Sheath for Right Ventricular Septal Endomyocardial 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