R. Ewert et al., HISTOLOGIC SPECIMEN FROM PATIENTS WITH PULMONARY-HYPERTENSION WITH PERCUTANEOUS TRANSLUMINAL BIOPSY RESULTS OF ANIMAL-EXPERIMENTS AN CLINICAL-DATA, Zeitschrift fur Kardiologie, 86(8), 1997, pp. 622-629
Pulmonary hypertension is a severe multietiological disease largely re
sistant to treatment. Biopsy is often necessary to establish different
ial diagnosis. In pulmonary hypertension transbronchial pulmonary biop
sy is contraindicated and open lung biopsy is the method of choice. In
our paper we report about experimental results in animals and first c
linical data on a new biopsy technique (percutaneous transluminal biop
sy, PTB) providing access to histology in pulmonary hypertension witho
ut the need of surgery. In a subset of animals pulmonary hypertension
was produced experimentally. In addition, we carried out the PTB in pa
tients with bronchial carcinoma. Our preliminary results demonstrate t
hat sufficient material could be gained for the histologic evaluation
of pulmonary parenchyma and in pulmonary vessels. No complications hav
e been noted so far.