BACKGROUND: Endomyocardial biopsy (EMB) remains the gold standard for the diagnosis of graft rejection after @entity299 ( @entity299 ). Our purpose was to evaluate the rate of complications of this invasive procedure. METHODS: This was a retrospective study of 175 @entity1 , who were transplanted between November 2003 and October 2010 and survived more than 1 month after surgery. We evaluated the number of inconclusive EMB and described the incidence, nature, and subsequent management of several complications associated with this procedure. RESULTS: Over a period of approximately 7 years, we performed 2217 EMB yielding 4972 specimens, namely, an average of 2.3 fragments per procedure. The majority of EMBs (95.3%) were performed by the femoral approach. Only 12 EMB (0.57%) were inconclusive. The overall complication rate was 0.71%. During puncture, one @entity1 experienced a @entity907 and another one, a femoral @entity2849 . During the biopsy, there was one case of @entity299 with tamponade, two cases of @entity4710 , and three @entity713 . In 19 @entity1 , histological analysis revealed chordal tissue, but only two @entity1 developed mild @entity997 . We observed five cases of coronary artery fistulae. The clinical outcomes were favorable in all cases. CONCLUSION: EMB proved to be a suitable, safe method to monitor rejection after @entity299 .

Complications of endomyocardial biopsy in heart transplant XXXX : a retrospective study of 2117 consecutive procedures.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity907 :: ('MESH:D019462', 'Disease') :: ['vasovagal reaction'] @entity713 :: ('MESH:D054537', 'Disease') :: ['atrioventricular conduction abnormalities'] @entity997 :: ('MESH:D014262', 'Disease') :: ['tricuspid regurgitation'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac perforation', 'HT', 'heart transplantation'] @entity4710 :: ('MESH:D013617', 'Disease') :: ['supraventricular tachycardia'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['artery false aneurysm']
@entity1 :: (9606,Species) :: ['patients']
