Abstract

SAN LUIS-MIRANDA, Raúl et al. Endomiocardial biopsy: Revision and experience of 176 procedures. Arch. Cardiol. Méx. [online]. 2007, vol.77, n.3, pp.200-208. ISSN 1665-1731.

Endomyocardial biopsy (EB) is often used in the clinical evaluation of several cardiac disease. Hundred-seventy-six consecutive procedures were performed in 65 patients, 43 men and 22 women mean age was 29.86 ± 11.53 (range 4 days to 66 years). Group A, 26 post-cardiac transplantation patients in whom 137 EB were performed (39 heterotopic and 98 orthotopic), average sample 5.2 biopsy for each patient. Group B (n = 39) was studied for several cardiac diseases during cardiac diagnostic catheterism. The jugular venous approach was performed in 3 patients (1.7%), femoral in 173 patients. Major complications were found in 3 (1.7%) cases consisting in cerebrovascular accident (stroke) and coronary fistula into the right ventricle. Endomyocardial biopsy provides a low incidence of adverse reactions, mortality was 0%.

Keywords : Endomyocardial biopsy; Heart transplatation; Heterotopic and orthotopic heart transplatation.

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