Endomyocardial Biopsy: Variations in Venous Access for Endomyocardial Biopsy in Cardiac Transplantation
| Autor: | James B. McClurken, Nicholas C. Cavarocchi, Jack Kolff, Jeffrey B. Alpern |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Pulmonary and Respiratory Medicine
Cardiac Catheterization Catheterization Central Venous medicine.medical_specialty Regional anatomy Biopsy Subclavian Vein Endomyocardial biopsy Catheters Indwelling Supine Position medicine Humans Major complication Right internal jugular vein medicine.diagnostic_test business.industry Myocardium Equipment Design Femoral Vein Surgery Venous access Transplantation medicine.anatomical_structure Ventricle cardiovascular system Heart Transplantation Radiology Jugular Veins Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Surgery. 5:106-114 |
| ISSN: | 1540-8191 0886-0440 |
| DOI: | 10.1111/j.1540-8191.1990.tb00747.x |
| Popis: | With the increasing number of cardiac transplantation procedures performed worldwide, a strategy for endomyocardial biopsy techniques has evolved at our institution. Specific approaches for venous access for biopsy purposes are described. These include approaches via the right internal jugular vein, right external jugular vein, left subclavian vein, and the femoral veins. Particular emphasis is placed on the technical nuances of each approach. In approximately 2,000 endomyocardial biopsies performed on 155 transplant patients from 1984-1989, only two major complications occurred, only one of which required operative intervention. This was a perforated right ventricle, and the patient recovered after repair without further sequelae. No pneumothoraces or infection occurred during this time period. With proper understanding of regional anatomy, fluoroscopic appearance, and experience, endomyocardial biopsies can be performed with an extremely low incidence of major or minor complications. |
| Databáze: | OpenAIRE |
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