A 25-year experience of endomyocardial biopsy safety in infants

作者: Derek Zhorne , Christopher J. Petit , Frank F. Ing , Henri Justino , John L. Jefferies

DOI: 10.1002/CCD.24802

关键词:

摘要: Objectives To analyze the outcomes and risk factors associated with endomyocardial biopsy (EMB) in children less than one year of age. Background EMB has proven to be an integral diagnostic tool evaluate suspected myocarditis, identify tumor histology, provide tissue-graft surveillance after cardiac transplantation. The morbidity mortality EMB been well established adult literature reviewed general pediatric population, but there remains limited data for first life. Methods We retrospectively cardiology database at our institution patients age who underwent between 1984 2008. Cardiac catheterization reports were patient demographics, indication, procedural details, complications. Results A total 99 EMBs performed, 49 evaluation 43 transplant rejection surveillance, 3 4 endocardial fibroelastosis. Forty procedures performed age < 6 months 11 complications 59 age ≥ 6 four complications. In total, 12 (12.1%) complications: 9 arrhythmias, perforations requiring pericardiocentesis, 1 pneumothorax, death. Univariate analysis revealed a significant association perforation both weight <8 kg (P = 0.05) <6 (P = 0.01). Conclusion Endomyocardial biopsies can safely infants, although under 6 8 represent high group deserve special consideration due incidence this cohort.© 2013 Wiley Periodicals, Inc.

参考文章(9)
Tokio Yoshizato, William D. Edwards, Ernerio T. Alboliras, Donald J. Hagler, David J. Driscoll, Safety and utility of endomyocardial biopsy in infants, children and adolescents: a review of 66 procedures in 53 patients. Journal of the American College of Cardiology. ,vol. 15, pp. 436- 442 ,(1990) , 10.1016/S0735-1097(10)80074-9
Stephen G Pophal, Gunnlaugur Sigfusson, Karen L Booth, Silviu-Alin Bacanu, Steven A Webber, Jose A Ettedgui, William H Neches, Sang C Park, Complications of endomyocardial biopsy in children Journal of the American College of Cardiology. ,vol. 34, pp. 2105- 2110 ,(1999) , 10.1016/S0735-1097(99)00452-0
Kevin P. Daly, Audrey C. Marshall, Julie A. Vincent, Warren A. Zuckerman, Timothy M. Hoffman, Charles E. Canter, Elizabeth D. Blume, Lisa Bergersen, Endomyocardial biopsy and selective coronary angiography are low-risk procedures in pediatric heart transplant recipients: results of a multicenter experience. Journal of Heart and Lung Transplantation. ,vol. 31, pp. 398- 409 ,(2012) , 10.1016/J.HEALUN.2011.11.019
Collin G. Cowley, John S. Lozier, Garth S. Orsmond, Robert E. Shaddy, Safety of endomyocardial biopsy in children. Cardiology in The Young. ,vol. 13, pp. 404- 407 ,(2003) , 10.1017/S1047951103000866
Leslie T. Cooper, Kenneth L. Baughman, Arthur M. Feldman, Andrea Frustaci, Mariell Jessup, Uwe Kuhl, Glenn N. Levine, Jagat Narula, Randall C. Starling, Jeffrey Towbin, Renu Virmani, The role of endomyocardial biopsy in the management of cardiovascular disease: a scientific statement from the American Heart Association, the American College of Cardiology, and the European Society of Cardiology. Endorsed by the Heart Failure Society of America and the Heart Failure Association of the European Society of Cardiology. Journal of the American College of Cardiology. ,vol. 50, pp. 1914- 1931 ,(2007) , 10.1016/J.JACC.2007.09.008
Vincent R. Zales, Susan Crawford, Carl L. Backer, Elfriede Pahl, Catherine L. Webb, Patricia Lynch, Constantine Mavroudis, D. Woodrow Benson, Role of endomyocardial biopsy in rejection surveillance after heart transplantation in neonates and children Journal of the American College of Cardiology. ,vol. 23, pp. 766- 771 ,(1994) , 10.1016/0735-1097(94)90766-8
Matthias Holzmann, Alexander Nicko, Uwe Kühl, Michel Noutsias, Wolfgang Poller, Wolfgang Hoffmann, Andreas Morguet, Bernhard Witzenbichler, Carsten Tschöpe, Heinz-Peter Schultheiss, Matthias Pauschinger, Complication rate of right ventricular endomyocardial biopsy via the femoral approach: a retrospective and prospective study analyzing 3048 diagnostic procedures over an 11-year period. Circulation. ,vol. 118, pp. 1722- 1728 ,(2008) , 10.1161/CIRCULATIONAHA.107.743427
ROBERT E. FOWLES, Endomyocardial Biopsy Annals of Internal Medicine. ,vol. 97, pp. 885- None ,(1982) , 10.7326/0003-4819-97-6-885