Document Detail


New nonsurgical technique for multiple pericardial biopsies.
MedLine Citation:
PMID:  3180214     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a new, nonsurgical technique for obtaining multiple pericardial biopsies in patients with pericardial effusion. A short catheter is introduced by the Seldinger technique under fluoroscopy through the subxiphoid approach. The pericardial fluid is aspirated and the catheter replaced by an 8F teflon sheath with a curved tip. A bioptome is inserted through the sheath, and air is allowed to enter the pericardium. This method outlines the parietal percardium. The curved sheath directs the bioptome to the left or right wall. Eighteen consecutive patients had an average of eight pieces of pericardium removed. On histological examination, three patients had malignancy. Six had tuberculous granuloma, and mycobacterium tuberculosis was cultured from all six tissue specimens but only once from the fluid. Tissue smears showed acid fast bacilli in four out of six, whereas the fluid was negative in all. The biopsy yielded diagnostic information in nine out of ten patients with a thickened pericardium. There were no complications.
Authors:
J Endrys; M Simo; M Z Shafie; B Uthaman; Y Kiwan; T Chugh; S M Ali; K Spacek; A M Yousef; G Cherian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  15     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1988  
Date Detail:
Created Date:  1988-12-05     Completed Date:  1988-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  92-4     Citation Subset:  IM    
Affiliation:
Cardiology Department, Chest Hospital, Safat, Kuwait.
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MeSH Terms
Descriptor/Qualifier:
Biopsy / methods*
Carcinoma / complications,  pathology
Heart Neoplasms / complications,  pathology
Humans
Mesothelioma / complications,  pathology
Pericardial Effusion / etiology,  pathology*
Pericarditis, Tuberculous / complications,  pathology
Pericardium / pathology*

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