Successful Endomyocardial Biopsy Guided by Transthoracic Two-Dimensional Echocardiography

Página do item simplificado
dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFIORELLI, A. I.
dc.contributor.authorCOELHO, G. B.
dc.contributor.authorSANTOS, R. H. B.
dc.contributor.authorOLIVEIRA JR., J. L.
dc.contributor.authorAIELO, V.
dc.contributor.authorBENVENUTI, L.
dc.contributor.authorOLIVEIRA, A. S.
dc.contributor.authorSILVA, M. A. F. Da
dc.contributor.authorCHIZZOLA, P. R.
dc.contributor.authorCOSTA, R.
dc.contributor.authorMATHIAS JR., W.
dc.contributor.authorBACAL, F.
dc.contributor.authorBOCCHI, E. A.
dc.contributor.authorSTOLF, N. A. G.
dc.date.accessioned2017-11-27T16:24:43Z
dc.date.available2017-11-27T16:24:43Z
dc.date.issued2011
dc.description.abstractIntroduction. Two-dimensional (2-D) echocardiography is an excellent alternative method to perform endomyocardial biopsies (EB) in special situations, mainly when the patient is in a critical state and cannot go to the catheterization laboratory or when there are contraindications to the use of fluoroscopy as in the pregnancy. Objective. This single-center experience analyzed the last 25 years use of an EB technique guided by echocardiography realized at the bedside on critical patients. Methods. From 1985 to 2010, we performed 76 EB guided by 2-D echocardiography on 59 patients, among whom 38 (64.4%) were critically ill with examinations at the bedside; among 10 (16.9%) subjects, the procedure was carried out simultaneously with fluoroscopy for safety's sake during the learning period. In addition, 8 (13.6%) were unavailable for fluoroscopy, and 3 (5.1%) required a hybrid method due to an intracardiac tumor. Results. The main adverse effects included local pain (n = 4, 5.6%); difficult out successful puncture due to previous biopsies (n = 4, 5.6%); local hematoma without major consequences (n = 3, 4.2%); failed but ultimately successful puncture on the first try due to previous biopsies or (n = 3, 4.2%); obesity and immediate postoperative period with impossibility to pass the bioptome into the right ventricle; however 2 days later the procedure was repeated successfully by echocardiography (n = 1, 1.4%). All myocardial specimens displayed suitable size. There were no undesirable extraction effects on the tricuspid valve tissue. In this series, there was no case of death, hemopericardium, or other major complication as a direct consequence of the biopsy. Conclusion. 2-D echocardiography is a special feature to guide EB is mainly in critically ill patients because it can be performed at the bedside without additional risk or disadvantages of fluoroscopy. The hybrid method associating 2-D echocardiography and fluoroscopy allows the procedure in different situations such as intracardiac tumor cases.
dc.description.conferencedateOCT 02-05, 2010
dc.description.conferencelocalPorto, PORTUGAL
dc.description.conferencename9th Luso Brazilian Congress of Transplant
dc.description.indexMEDLINE
dc.identifier.citationTRANSPLANTATION PROCEEDINGS, v.43, n.1, p.225-228, 2011
dc.identifier.doi10.1016/j.transproceed.2010.12.049
dc.identifier.issn0041-1345
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/22783
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INC
dc.relation.ispartofTransplantation Proceedings
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCIENCE INC
dc.subject.otherguidance
dc.subject.wosImmunology
dc.subject.wosSurgery
dc.subject.wosTransplantation
dc.titleSuccessful Endomyocardial Biopsy Guided by Transthoracic Two-Dimensional Echocardiography
dc.typearticle
dc.type.categoryarticle; proceedings paper
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalCOELHO, G. B.:Univ Sao Paulo, Sch Med, Inst Heart, Sao Paulo, Brazil
hcfmusp.author.externalOLIVEIRA, A. S.:Univ Sao Paulo, Sch Med, Inst Heart, Sao Paulo, Brazil
hcfmusp.author.externalSILVA, M. A. F. Da:Univ Sao Paulo, Sch Med, Inst Heart, Sao Paulo, Brazil
hcfmusp.citation.scopus4
hcfmusp.contributor.author-fmusphcALFREDO INACIO FIORELLI
hcfmusp.contributor.author-fmusphcRONALDO HONORATO BARROS DOS SANTOS
hcfmusp.contributor.author-fmusphcJOSE DE LIMA OLIVEIRA JUNIOR
hcfmusp.contributor.author-fmusphcVERA DEMARCHI AIELLO
hcfmusp.contributor.author-fmusphcLUIZ ALBERTO BENVENUTI
hcfmusp.contributor.author-fmusphcPAULO ROBERTO CHIZZOLA
hcfmusp.contributor.author-fmusphcROBERTO COSTA
hcfmusp.contributor.author-fmusphcWILSON MATHIAS JUNIOR
hcfmusp.contributor.author-fmusphcFERNANDO BACAL
hcfmusp.contributor.author-fmusphcEDIMAR ALCIDES BOCCHI
hcfmusp.contributor.author-fmusphcNOEDIR ANTONIO GROPPO STOLF
hcfmusp.description.beginpage225
hcfmusp.description.endpage228
hcfmusp.description.issue1
hcfmusp.description.volume43
hcfmusp.origemWOS
hcfmusp.origem.pubmed21335193
hcfmusp.origem.scopus2-s2.0-79951783115
hcfmusp.origem.wosWOS:000287679100047
hcfmusp.publisher.cityNEW YORK
hcfmusp.publisher.countryUSA
hcfmusp.relation.referenceAbramowitz Yigal, 2007, Int J Cardiol, V118, pe39, DOI 10.1016/j.ijcard.2006.12.039
hcfmusp.relation.referenceSAKAKIBARA S, 1962, JPN HEART J, V3, P537
hcfmusp.relation.referenceBalzer D, 1993, J Am Soc Echocardiogr, V6, P510
hcfmusp.relation.referenceBedanova H, 2004, TRANSPLANT INT, V17, P622, DOI 10.1007/s00147-004-0760-1
hcfmusp.relation.referenceDrury JH, 1997, ECHOCARDIOGR-J CARD, V14, P469, DOI 10.1111/j.1540-8175.1997.tb00754.x
hcfmusp.relation.referenceFiorelli AI, 2009, TRANSPL P, V41, P935, DOI 10.1016/j.transproceed.2009.02.011
hcfmusp.relation.referenceGrande A M, 1997, G Ital Cardiol, V27, P877
hcfmusp.relation.referenceJackson CE, 2009, EUR J ECHOCARDIOGR, V10, P171, DOI 10.1093/ejechocard/jen210
hcfmusp.relation.referencePYTLEWSKI G, 1994, AM J CARDIOL, V73, P1019, DOI 10.1016/0002-9149(94)90163-5
hcfmusp.scopus.lastupdate2024-06-16
relation.isAuthorOfPublication6a492615-9f9c-456b-8d3d-18c3ca7baaa8
relation.isAuthorOfPublicationdd2f2340-00f5-47d1-a2f5-66899be15258
relation.isAuthorOfPublication8e365869-4c37-4b79-bfd1-b858538c869a
relation.isAuthorOfPublicationd105992d-35d0-4e8b-a262-610c52ff58f4
relation.isAuthorOfPublicationb8573077-182a-4b52-9d38-bd961c0707e4
relation.isAuthorOfPublication2e0e54de-d2c6-4898-bd54-af161fc60ae6
relation.isAuthorOfPublication08be31e7-c416-4747-ac22-050469909c93
relation.isAuthorOfPublication8c19f86f-f048-41b0-93fe-b246aac59043
relation.isAuthorOfPublication2c246184-dfb8-4a5a-bc13-582dadb38d27
relation.isAuthorOfPublicationb91a2818-f913-410b-afa2-af089f99e39c
relation.isAuthorOfPublication3de0ec74-993b-4719-a14a-f3b12b3bca3f
relation.isAuthorOfPublication.latestForDiscovery6a492615-9f9c-456b-8d3d-18c3ca7baaa8
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Nenhuma Miniatura disponível
Nome:
art_FIORELLI_Successful_Endomyocardial_Biopsy_Guided_by_Transthoracic_TwoDimensional_Echocardiography_2011.PDF
Tamanho:
334.96 KB
Formato:
Adobe Portable Document Format
Descrição:
publishedVersion (English)
Baixar
Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11