[Endomyocardial biopsy. Revision and experience of 176 procedures].
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 postcardiac 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%.
Unidad Médica de Alta Especialidad, Dr. Gaudencio González Garza, Centro Médico La Raza, Departamento de Hemodinámica, México. dr_sanluiscardio@yahoo.com.mix
Raúl
R
San Luis-Miranda
José Luis
JL
Lázaro-Castillo
Jaime
J
Munayer-Calderón
Homero A
HA
Ramírez-Reyes
Laura
L
Arias-Monroy
Tomás
T
Aldana-Pérez
Antonio
A
Amaya-Hernández
José Luis
JL
León-Avila
Guillermo
G
Gómez-Campos
D000293:Adolescent; D000328:Adult; D000368:Aged; D001706:Biopsy / Q000009:adverse effects / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*