Document Detail


Echo-guided endomyocardial biopsy in heart transplant recipients.
MedLine Citation:
PMID:  15502940     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After heart transplantation the effect of immunosuppression is monitored by histopathology of endomyocardial biopsy (EMB). EMB is usually carried out under X-ray guidance. Between January 1998 and March 2003, 1,262 biopsies were collected under echo-guidance in 156 patients. The biopsy access was gained through the internal jugular vein, by the standard catheterization technique. The average time of the procedure was 17 min. Four or five specimens were obtained from each patient, with a success rate of 96%. Complications involved two episodes of partial pneumothorax in one patient, atrial flutter in another and ventricular fibrillation in three patients. Conversion from echo to X-ray guidance was indicated in 11 patients. No case of significant tricuspid regurgitation related to the EMB procedure was recorded. The echo-guided endomyocardial biopsy appears to be a prospective alternative to the conventional approach under X-ray guidance. Its duration is comparable, it eliminates X-ray exposure, enables continuous echocardiographic monitoring and can be performed at the bedside.
Authors:
Helena Bedanova; Josef Necas; Erik Petrikovits; Petr Pokorny; Sylva Kovalova; Petr Malik; Jiri Ondrasek; Jan Cerny
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2004-10-16
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  17     ISSN:  0934-0874     ISO Abbreviation:  Transpl. Int.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-04-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  622-5     Citation Subset:  IM    
Affiliation:
Centre of Cardiovascular and Transplant Surgery, Pekarska 52, 656 91 Brno, Czech Republic. helena.bedanova@cktch.cz
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Atrial Flutter / etiology
Biopsy / adverse effects,  methods
Echocardiography* / standards
Endocardium / pathology*
Female
Heart Transplantation*
Humans
Male
Middle Aged
Pneumothorax / etiology
Postoperative Care*
Retrospective Studies
Surgery, Computer-Assisted* / standards
Ventricular Fibrillation / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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