Biopsia percutanea de pulmon con aguja de vim-silverman
Percutaneous lung biopsy with vim-silverman's needle
J. Rubio Gil, J. Tarrés Olivella, R. Cornudella
Hospital de la Santa Cruzy San Pablo. Servicio Aparato Respiratorio (Dir. R. Cornudella) Barcelona
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Mosquera Pestaña, E. Fernández Bustillo, P. Rodríguez González" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "Mosquera Pestaña" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Fernández Bustillo" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Rodríguez González" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326235?idApp=UINPBA00003Z" "url" => "/03002896/0000001400000002/v1_201509151321/S0300289615326235/v1_201509151321/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Biopsia percutanea de pulmon con aguja de vim-silverman" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "70" "paginaFinal" => "72" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Rubio Gil, J. Tarrés Olivella, R. Cornudella" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Rubio Gil" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Tarrés Olivella" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Cornudella" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital de la Santa Cruzy San Pablo. Servicio Aparato Respiratorio (Dir. R. Cornudella) Barcelona" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Percutaneous lung biopsy with vim-silverman's needle" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se han practicado 48 punciones biópsicas percutáneas de pulmón con la aguja de Vim-Silverman. Se obtuvo tejido pulmonar en el 85,3% y permitió establecer un diagnóstico en el 68,7% de los casos. Los resultado? más altos fueron en procesos pleurales o pulmonares localizados.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presentaron complicaciones en el 20,8%; un caso de exitus letalis por hemoptisis severa y probable embolia gaseosa, (mortalidad del 2%) y en el resto fueron hemoptisis, en general de poca cuantía. De modo global todas estas cifras concuerdan con los datos de otros autores con series más extensas, a excepción de la ausencia de neumotorax en nuestra casuística. Debido a la alta rentabilidad de la biopsia periférica transbron-quial y a la aparición de los primeros resultados con la nueva aguja denominada tru-cut, las indicaciones de la aguja de Vim-Silverman se han reducido sensiblemente.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Presentamos los resultados obtenidos con esta técnica con la finalidad de que sirvan de referencia en la valoración de nuevos métodos biopsicós.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors carried out 48 percu-taneous lung biopsical punctures with Vim-Silverman's needle. Pulmonary tissue was obtained in 85.3% of the cases and allowed a diagnosis to be established in 68.7%. The highest results were in localized pulmonary or pleural processes.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Complications were presented in 20.8% of the cases; there was one case of exitus letalis by severe hemop-tysis and probable gaseos embolism (mortality of 2%) and the rest were hemoptysis, in general of small quan-tity. Globally, all these figures coincide with the data of other authors with more extense series, except for the absence of pneumothorax in these cases.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Due to the high performance of transbronchial peripheric biopsy and to the appearance of the first results with the new needle called tru-cut, the indications for Vim-Silverman's needle have been notably reduced.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The authors present the results obtained with this technique so that it can serve as a reference for the eva-luation of new biopsic methods.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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