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Titolo:
ANALYSIS OF THE SAFETY OF BRONCHOSCOPY AFTER RECENT ACUTE MYOCARDIAL-INFARCTION
Autore:
DWEIK RA; MEHTA AC; MEEKER DP; ARROLIGA AC;
Indirizzi:
CLEVELAND CLIN FDN,PULM DEPT A90,9500 EUCLID AVE CLEVELAND OH 44195 CLEVELAND CLIN FDN,DEPT PULM & CRIT CARE MED CLEVELAND OH 44195
Titolo Testata:
Chest
fascicolo: 3, volume: 110, anno: 1996,
pagine: 825 - 828
SICI:
0012-3692(1996)110:3<825:AOTSOB>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
FIBEROPTIC BRONCHOSCOPY; COMPLICATIONS; ARRHYTHMIAS;
Keywords:
ACUTE MYOCARDIAL INFARCTION; BRONCHOSCOPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
R.A. Dweik et al., "ANALYSIS OF THE SAFETY OF BRONCHOSCOPY AFTER RECENT ACUTE MYOCARDIAL-INFARCTION", Chest, 110(3), 1996, pp. 825-828

Abstract

Acute myocardial infarction (AMI) is generally considered to increasethe risk of flexible fiberoptic bronchoscopy (FFB). Currently, to ourknowledge, no data in the literature support or challenge this concept. We conducted a retrospective chart review for the years 1986 to 1994 of 20 patients (14 men) who underwent 21 FFBs while hospitalized foran AMI. The mean age was 63.8 years (range, 38 to 83 years). Ten patients underwent revascularization procedures (eight coronary artery bypass grafting and two percutaneous transluminal coronary angioplasty) before FFB. The mean period between the AMI and FFB was 11.7 days (range, 1 to 30 days). Indications for FFB were pulmonary infiltrate (n=10), hemoptysis (n=6), atelectasis (n=4), and to localize a suspected bronchopleural fistula (n=1). Procedures performed included airway examination (21), BAL (12), transbronchial biopsy (2), endobronchial biopsy (3), and endobronchial brushing (4). No procedure was interrupted as aresult of an adverse event, and five patients died during the same hospitalization. Four of the deaths occurred 6 to 15 days postprocedure;1 patient (who had active ischemia at the time of FFB) died 4 h postprocedure. We conclude that FFB is safe in the immediate post-AMI period as long as the patient does not have active ischemia at the time of the procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 13:47:23