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2007, Número 3

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Arch Cardiol Mex 2007; 77 (3)


Biopsia endomiocárdica. Revisión y experiencia de 176 procedimientos

Luis-Miranda RS, Lázaro-Castillo JL, Munayer-Calderón J, Ramírez-Reyes HA, Arias-Monroy L, Aldana-Pérez T, Amaya-Hernández A, León-Ávila JL, Gómez-Campos G

Idioma: Español
Referencias bibliográficas: 63
Paginas: 200-208
Archivo PDF: 146.42 Kb.


RESUMEN

La biopsia endomiocárdica, es de ayuda diagnóstica para diversas cardiopatías. Se realizaron 176 procedimientos en 65 pacientes, 43 masculinos y 22 femeninos, edad 29.8 ± 11.5 años (4 días a 66 años). En el grupo A (n = 26) pacientes postrasplante cardíaco, se realizaron 137 procedimientos, 39 en trasplante heterotópico y 98 ortotópico. En el grupo B integrado por 39 pacientes con cardiopatías diversas, se realizaron 39 procedimientos. El acceso fue por vía yugular en 3 pacientes (1.7%), la vía femoral se utilizó en 173 (98.3%) pacientes; 168 (95%) por vía venosa; vía arterial en 5 (2.5%). Se presentaron complicaciones mayores en 3 pacientes (1.7%). La biopsia endomiocárdica tiene una morbilidad y mortalidad muy baja. La ayuda diagnóstica histológica para la decisión terapéutica en el grupo A fue del 100%. En pacientes postrasplante cardíaco hay una mortalidad de 0% y complicaciones graves en el 1.7% tales como enfermedad vascular cerebral (EVC) y fístula coronaria derecha al ventrículo derecho. La vía de acceso más frecuentemente utilizada en nuestra serie fue la vía venosa femoral.


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