Abstract
La biopsia endomiocardica (BEM) è una metodica diagnostica invasiva, non chirurgica, che consente di ottenere campioni istologici di tessuto miocardico. Lo studio istologico è utile per la diagnosi di: rigetto acuto dopo trapianto, miocarditi, endocarditi, sarcoidosi, virosi, infezioni batteriche e parassitarie, miocardiopatie primitive, miocardiopatie farmaco-indotte, miocardiopatie da accumulo, miocardiopatie secondarie e neoplasie. Nel 2007 un documento congiunto ACC/AHA/ESC ha definito il ruolo della BEM nella gestione delle malattie cardiovascolari. I rischi acuti includono perforazione con tamponamento cardiaco, aritmie ventricolari e sopraventricolari, arresto cardiaco, pneumotorace, perforazione di grossi vasi, tromboembolismo, ematomi venosi, danni valvolari e formazione di fistole. Tra le complicanze tardive le più frequenti sono: ematomi nel sito di accesso transvascolare, danni valvolari, versamento pericardico, tamponamento cardiaco, tromboembolismo, infezioni.
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Tonioni, S., Gonnella, C., Pica, E. (2011). La biopsia miocardica. In: Cardiologia dello Sport. Springer, Milano. https://doi.org/10.1007/978-88-470-2352-9_10
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DOI: https://doi.org/10.1007/978-88-470-2352-9_10
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