{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:14:26Z","timestamp":1785881666830,"version":"3.56.0"},"reference-count":6,"publisher":"Sociedade Brasileira de Cardiologia","issue":"10","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo A bi\u00f3psia endomioc\u00e1rdica (BE) \u00e9 o procedimento de prefer\u00eancia para o diagn\u00f3stico de rejei\u00e7\u00e3o p\u00f3s-transplante card\u00edaco. A t\u00e9cnica de bi\u00f3tomo r\u00edgido tem sido usada devido \u00e0 sua maior simplicidade e tem sido criticada pelo risco potencial de regurgita\u00e7\u00e3o tric\u00faspide (RT). Nosso objetivo foi revisar todas as BEs realizadas por meio dessa t\u00e9cnica em um centro terci\u00e1rio e estimar a taxa de complica\u00e7\u00f5es e\/ou agravamento por RT. Estudo transversal, retrospectivo, anter\u00f3grado. Os dados foram coletados de 729 BEs realizadas em 55 pacientes p\u00f3s-transplante card\u00edaco, com um bi\u00f3tomo r\u00edgido Scholten Novatome\u2122 entre setembro de 2012 e mar\u00e7o de 2022. Todas as BEs foram realizadas pela veia jugular direita sob anestesia local e por meio de micropun\u00e7\u00e3o e orienta\u00e7\u00e3o por ultrassom. Um total de 729 procedimentos tiveram ecocardiografia realizada antes e depois dos procedimentos. A estimativa da RT foi categorizada como ausente, m\u00ednima, leve, moderada e grave. O teste qui-quadrado de McNemar foi usado para analisar o grau de RT pr\u00e9 e p\u00f3s-BE. Houve piora suficiente para se tornar RT moderada ou grave p\u00f3s-bi\u00f3psia em 2 (0,27%) procedimentos, e houve uma ligeira altera\u00e7\u00e3o na RT de m\u00ednima para leve em 25 (3,42%) procedimentos. Em 729 BEs percut\u00e2neas realizadas com um bi\u00f3tomo r\u00edgido, n\u00e3o houve perfura\u00e7\u00e3o mioc\u00e1rdica, tamponamento card\u00edaco ou pneumot\u00f3rax. Uma morte ocorreu dentro de 24 horas ap\u00f3s o procedimento, por motivo desconhecido. A BE com bi\u00f3tomo r\u00edgido \u00e9 segura e n\u00e3o foi associada \u00e0 piora da RT no acompanhamento de 729 BEs realizadas ap\u00f3s transplante card\u00edaco. A taxa geral de complica\u00e7\u00f5es, incluindo RT moderada a grave, foi de 0,81%. A taxa de mortalidade foi de 0,14%.<\/jats:p>","DOI":"10.36660\/abc.20240223","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T11:42:28Z","timestamp":1730461348000},"source":"Crossref","is-referenced-by-count":2,"title":["Bi\u00f3psia Endomioc\u00e1rdica por Meio de T\u00e9cnica de Bi\u00f3tomo R\u00edgido e Risco de Regurgita\u00e7\u00e3o Tric\u00faspide ap\u00f3s Transplante Card\u00edaco"],"prefix":"10.36660","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-210X","authenticated-orcid":false,"given":"Lu\u00eds","family":"Beck-da-Silva","sequence":"first","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre,  Brasil; Universidade Federal do Rio Grande do Sul,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Hennig","family":"Bridi","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno S.","family":"Matte","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Homem","family":"Valle","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22636","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"595","key":"ref1","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1136\/pgmj.51.595.286","article-title":"Transvenous Endomyocardial Biopsy--application of a Method for Diagnosing Heart Disease","volume":"51","author":"Caves P","year":"1975","journal-title":"Postgrad Med J"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0003-4975(10)65002-3","article-title":"Percutaneous Transvenous Endomyocardial Biopsy in Human Heart Recipients. Experience with a New Technique","volume":"16","author":"Caves PK","year":"1973","journal-title":"Ann Thorac Surg"},{"issue":"8","key":"ref3","first-page":"353","article-title":"Biopsy of the Human Heart","volume":"9","author":"Richardson PJ","year":"1974","journal-title":"Biomed Eng"},{"issue":"17","key":"ref4","doi-asserted-by":"crossref","first-page":"1722","DOI":"10.1161\/CIRCULATIONAHA.107.743427","article-title":"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","volume":"118","author":"Holzmann M","year":"2008","journal-title":"Circulation"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.jchf.2022.08.005","article-title":"Safety of Right and Left Ventricular Endomyocardial Biopsy in Heart Transplantation and Cardiomyopathy Patients","volume":"10","author":"Bermpeis K","year":"2022","journal-title":"JACC Heart Fail"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/0735-1097(92)90049-S","article-title":"Complications of Transvenous Right Ventricular Endomyocardial Biopsy in Adult Patients with Cardiomyopathy: A Seven-year Survey of 546 Consecutive Diagnostic Procedures in a Tertiary Referral Center","volume":"19","author":"Deckers JW","year":"1992","journal-title":"J Am Coll Cardiol"}],"container-title":["Arquivos Brasileiros de Cardiologia"],"original-title":["Endomyocardial Biopsy Using Rigid Bioptome Technique and the Risk of Tricuspid Regurgitation after Heart Transplantation"],"link":[{"URL":"https:\/\/abccardiol.org\/wp-content\/uploads\/articles_xml\/0066-782X-abc-121-10-e20240223\/0066-782X-abc-121-10-e20240223.x81990.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T11:42:30Z","timestamp":1730461350000},"score":1,"resource":{"primary":{"URL":"https:\/\/abccardiol.org\/article\/biopsia-endomiocardica-por-meio-de-tecnica-de-biotomo-rigido-e-risco-de-regurgitacao-tricuspide-apos-transplante-cardiaco\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":6,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024]]}},"alternative-id":["S0066-782X2024001000801"],"URL":"https:\/\/doi.org\/10.36660\/abc.20240223","relation":{"is-translation-of":[{"id-type":"doi","id":"10.36660\/abc.20240223i","asserted-by":"subject"},{"id-type":"doi","id":"10.36660\/abc.20240223i","asserted-by":"object"}]},"ISSN":["1678-4170","0066-782X"],"issn-type":[{"value":"1678-4170","type":"electronic"},{"value":"0066-782X","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20240223"}}