Indicaciones de la biopsia pericárdica

  1. Alba Montero, Juan M. de
  2. Sanz Barrios, A.
  3. García Pérez Velasco, J.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2013

Issue Title: Enfermedades cardiovasculares (IX): pericarditis

Series: 11

Issue: 43

Pages: 2608-2612

Type: Article

DOI: 10.1016/S0304-5412(13)70669-3 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Pericardial biopsy has opened a new perspective for establishing the etiology of pericardial diseases. However, its diagnostic value has been reported limited. Technical advances in instrumentation and introduction of pericardioscopy have improved the diagnostic yield. The traditional subxiphoid approach allows very limited exposure of the pericardium resulting in a low index of etiologic diagnosis and in rates of recurrence of pericardial effusion (according to authors, from 15�40 %). The development of endoscopic equipment has allowed to introduce new techniques, like video-assisted pericardioscopy and thoracoscopy window, that have improved diagnostic accuracy. This invasive pericardial procedure is recommended in patients with suspected pericarditis and neoplastic or tuberculous pericardial effusion.

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Data source: Dialnet