Evidence map›Paper›PMID 23236543›Full record

ArticleInternational journal of clinical and experimental pathology2013

Endomyocardial biopsy for monitoring heart transplant patients: 11-years-experience at a german heart center.

Thomas Strecker, Johannes Rösch, Michael Weyand, Abbas Agaimy

Abstract read
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Article in International journal of clinical and experimental pathology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Thomas StreckerCenter of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Germany. thomas.strecker@uk-erlangen.de
Johannes Rösch
Michael Weyand
Abbas Agaimy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart transplantation (HTX) has become an established therapy for patients with end-stage heart failure. Endomyocardial biopsy (EMB) still represents the gold standard for routine surveillance of heart transplant rejection. The objective of this article is to report our experience regarding the use of EMB in monitoring heart transplant recipients.

methodsWe evaluated retrospectively all patients who underwent orthotopic HTX between 2000 and 2011 at our hospital. From all patients, we created a follow-up, determined the number of EMB events and described the complications associated with this procedure.

resultsHTX was performed in 142 cases at our center in the last 11 years (1.3% of the total of 10693 cardiac surgical operations in that period). Further 9 patients visited our department for monitoring after HTX performed at an external center (total: 151). For all patients, a total of 1896 EMB events have been recorded. The majority of biopsies were performed through the right internal jugular vein. The overall complication rate was 1% (n=19).

conclusionsThe histological examination of right ventricular EMB still represents the gold standard of care for cardiac allograft rejection monitoring. EMB is an invasive, but safe and dedicated diagnostic procedure. However, the usefulness of recent non-invasive diagnostic approaches as an adjunct tool in monitoring for rejection remains to be further analyzed.

Indexed as

AdolescentAdultAgedBiopsyCardiac Surgical ProceduresEndocardiumFemaleGermanyGraft RejectionHeart TransplantationHumansMaleMiddle AgedRetrospective StudiesYoung Adultallograft rejectioncardiac transplantationEndomyocardial biopsyhistopathological evaluationimmunosuppression

Identifiers

PMID23236543
PMCPMC3515982

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.