دورية أكاديمية

Effect of Temporal Artery Biopsy Length and Laterality on Diagnostic Yield.

التفاصيل البيبلوغرافية
العنوان: Effect of Temporal Artery Biopsy Length and Laterality on Diagnostic Yield.
المؤلفون: Shen A; USC Roski Eye Institute (AS, JRC), Keck School of Medicine of the University of Southern California, Los Angeles, California; Wilmer Eye Institute (AMG, ARC, ADH, TJM, JRC), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Ophthalmology (AMG, AP), Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom; School of Medicine (AMG), Division of Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom; and Moorfields Eye Hospital (AP), London, United Kingdom., Gruener AM, Carey AR, Henderson AD, Poostchi A, McCulley TJ, Chang JR
المصدر: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society [J Neuroophthalmol] 2022 Jun 01; Vol. 42 (2), pp. 208-211. Date of Electronic Publication: 2022 Mar 25.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9431308 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-5166 (Electronic) Linking ISSN: 10708022 NLM ISO Abbreviation: J Neuroophthalmol Subsets: MEDLINE
أسماء مطبوعة: Publication: <1999->: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: New York, NY : Raven Press, c1994-
مواضيع طبية MeSH: Giant Cell Arteritis*/diagnosis , Temporal Arteries*/pathology, Adult ; Biopsy/methods ; Humans ; Retrospective Studies
مستخلص: Background: Giant cell arteritis (GCA) is the most common vasculitis in adults and is associated with significant morbidity and mortality. Temporal artery biopsy (TAB) remains the gold standard for diagnosis in the United States; however, practices vary in the length of artery obtained and whether bilateral simultaneous biopsies are obtained.
Methods: Retrospective chart review of all TABs performed at the Johns Hopkins Wilmer Eye Institute between July 1, 2007, and September 30, 2017.
Results: Five hundred eighty-six patients underwent TAB to evaluate for GCA. Of 404 unilateral biopsies, 68 (16.8%) were positive. Of 182 patients with bilateral biopsies, 25 (13.7%) had biopsies that were positive and 5 patients (2.7%) had biopsies that were discordant, meaning only 1 side was positive. There was no significant difference in the average postfixation length of positive and negative TAB specimens (positive mean length 1.38 ± 0.61 cm, negative mean length 1.39 ± 0.62 cm, P = 0.9).
Conclusions: There is no significant association between greater length of biopsy and a positive TAB result in our data. Although the rate of positive results was not higher in the bilateral group compared with the unilateral group, 2.7% of bilateral biopsies were discordant, similar to previously published rates. Overall, this suggests that initial bilateral biopsy may increase diagnostic yield, albeit by a small amount.
Competing Interests: In the interest of full disclosure, J. R. Chang served on an advisory board for Horizon Therapeutics, which has no relation to the content of this article. The other authors report no conflicts of interest.
(Copyright © 2022 by North American Neuro-Ophthalmology Society.)
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تواريخ الأحداث: Date Created: 20220419 Date Completed: 20220524 Latest Revision: 20220612
رمز التحديث: 20221213
DOI: 10.1097/WNO.0000000000001535
PMID: 35439214
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5166
DOI:10.1097/WNO.0000000000001535