{"id":20041,"date":"2025-04-22T06:30:00","date_gmt":"2025-04-22T06:30:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20041"},"modified":"2025-04-22T13:27:54","modified_gmt":"2025-04-22T13:27:54","slug":"como-fazer-uma-puncao-ecoguiada-transvascular","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/","title":{"rendered":"Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular?"},"content":{"rendered":"\n<p>Durante anos, a presen\u00e7a de vasos de grande calibre entre o ecoendosc\u00f3pio e a les\u00e3o representava um obst\u00e1culo intranspon\u00edvel. Mas os tempos mudaram: a evolu\u00e7\u00e3o t\u00e9cnica e a experi\u00eancia crescente com pun\u00e7\u00e3o transvascular guiada por EUS\/EBUS (TVNA) mostram que esse caminho, antes temido, pode ser seguro e altamente eficaz, desde que bem indicado.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>O que \u00e9 a TVNA?<\/strong><\/h2>\n\n\n\n<p>A TVNA \u00e9 uma t\u00e9cnica de pun\u00e7\u00e3o por agulha fina em que a agulha atravessa um vaso sangu\u00edneo interposto (como a aorta, art\u00e9ria pulmonar ou veia cava) para alcan\u00e7ar uma les\u00e3o tor\u00e1cica ou abdominal.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Objetivo: coletar tecido para an\u00e1lise citopatol\u00f3gica ou histol\u00f3gica<\/li>\n\n\n\n<li>Guia: ecoendoscopia em tempo real com doppler<\/li>\n\n\n\n<li>P\u00fablico alvo: pacientes sem outra via de acesso para diagn\u00f3stico<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Quando considerar?<\/strong><\/h2>\n\n\n\n<p>Abaixo um fluxograma para indicar a t\u00e9cnica:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=20045\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-1024x576.png\" alt=\"\" class=\"wp-image-20045\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-1024x576.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-300x169.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-768x432.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-1536x864.png 1536w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-1170x658.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA-585x329.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/FLUXOGRAMA-CANVA.png 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Evid\u00eancias atuais:<\/strong><\/h2>\n\n\n\n<p>Estudo multic\u00eantrico espanhol (Garcia-Sumalla et al., 2020)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pacientes: 49 (50 procedimentos)<\/li>\n\n\n\n<li>Vasos transfixados: Aorta (n=19), sistema portal (n=17)<\/li>\n\n\n\n<li>Les\u00f5es: Linfonodos mediastinais (n=13), tumores pancre\u00e1ticos (n=11)<\/li>\n\n\n\n<li>Sensibilidade: 88%<\/li>\n\n\n\n<li>Especificidade: 100%<\/li>\n\n\n\n<li>Acur\u00e1cia: 90%<\/li>\n\n\n\n<li>Complica\u00e7\u00f5es: 3 leves (2 hematomas murais, 1 sangramento autolimitado)<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/attachment\/puncao-ecoguiada1\/\"><img decoding=\"async\" width=\"436\" height=\"335\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/puncao-ecoguiada1.png\" alt=\"\" class=\"wp-image-20108\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/puncao-ecoguiada1.png 436w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/puncao-ecoguiada1-300x231.png 300w\" sizes=\"(max-width: 436px) 100vw, 436px\" \/><\/a><figcaption class=\"wp-element-caption\">Figura: pun\u00e7\u00e3o ecoguiada transfixando veia cava inferior com agulha 22G para investiga\u00e7\u00e3o linfonodo suspeito. Imagem retirada de Garcia-Sumalla et al., 2020.<\/figcaption><\/figure>\n<\/div>\n\n\n<p><br>Meta-an\u00e1lise (Giri et al., 2023)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Estudos analisados: 17<\/li>\n\n\n\n<li>Pacientes: 411<\/li>\n\n\n\n<li>Acur\u00e1cia diagn\u00f3stica: 85%<\/li>\n\n\n\n<li>Adequa\u00e7\u00e3o da amostra: 91,5%<\/li>\n\n\n\n<li>Taxa de sangramento: 1,4% (todos autolimitados)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>T\u00e9cnica passo a passo:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avalia\u00e7\u00e3o pr\u00e9via com imagem (TC ou RNM)<\/li>\n\n\n\n<li>Estudo cuidadoso com doppler<\/li>\n\n\n\n<li>Evitar vasos com calcifica\u00e7\u00e3o ou aneurismas<\/li>\n\n\n\n<li>Escolher agulhas finas (FNA 25G ou 22G)<\/li>\n\n\n\n<li>Preferir t\u00e9cnica com ROSE, se dispon\u00edvel<\/li>\n\n\n\n<li>Ap\u00f3s pun\u00e7\u00e3o, monitorar \u00e1rea por 2 minutos com doppler<\/li>\n\n\n\n<li>Observa\u00e7\u00e3o cl\u00ednica de 6 horas \u00e0 24 horas<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Pontos-chave:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Permite diagn\u00f3stico de les\u00f5es &#8220;inacess\u00edveis&#8221;<\/li>\n\n\n\n<li>Evita procedimentos cir\u00fargicos mais invasivos<\/li>\n\n\n\n<li>Alta acur\u00e1cia quando bem indicada<\/li>\n\n\n\n<li>Necessita de centro especializado<\/li>\n\n\n\n<li>Contraindicado em coagulopatia ou hipertens\u00e3o portal<\/li>\n\n\n\n<li>Monitoramento rigoroso no p\u00f3s-procedimento<\/li>\n\n\n\n<li>Ainda sem estudos com FNB<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Conclus\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background\">A TVNA representa uma verdadeira virada de chave na econdoscopia diagn\u00f3stica. Ao vencer a barreira dos grandes vasos com precis\u00e3o, seguran\u00e7a e racionalidade, ampliamos o espectro de pacientes que podem se beneficiar de diagn\u00f3sticos menos invasivos e mais \u00e1geis. \u00c9 uma t\u00e9cnica que exige respeito, preparo e crit\u00e9rio, mas que, nas m\u00e3os certas, torna o imposs\u00edvel acess\u00edvel.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>GARCIA-SUMALLA, Albert et al. Endoscopic ultrasound-guided transvascular needle biopsy of thoracic and abdominal lesions: a multicenter experience. <em>Endoscopy International Open<\/em>, v. 8, p. E1900\u2013E1908, 2020. DOI: <a href=\"https:\/\/doi.org\/10.1055\/a-1288-0030\">10.1055\/a-1288-0030<\/a><\/li>\n\n\n\n<li>GIRI, Suprabhat et al. Efficacy and safety of endosonography-guided transvascular needle aspiration of thoracic and abdominal lesions: A systematic review and meta-analysis. <em>Journal of Clinical Ultrasound<\/em>, v. 51, n. 4, p. 723\u2013730, 2023. DOI: 10.1002\/jcu.23441<\/li>\n\n\n\n<li>KAZAKOV, Jordan et al. Endobronchial and Endoscopic Ultrasound-Guided Transvascular Biopsy of Mediastinal, Hilar, and Lung Lesions. <em>The Annals of Thoracic Surgery<\/em>, v. 103, n. 3, p. 951\u2013955, 2017.<\/li>\n\n\n\n<li>MOLINA, Juan Carlos et al. Transvascular endosonographic-guided needle biopsy of intrathoracic lesions. <em>The Journal of Thoracic and Cardiovascular Surgery<\/em>, v. 159, n. 5, p. 2057\u20132065, 2020. DOI:<br><a href=\"https:\/\/doi.org\/10.1016\/j.jtcvs.2019.10.017\">10.1016\/j.jtcvs.2019.10.017<\/a><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Oliveira JF. Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular? Endoscopia Terapeutica 2025, Vol 1. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20041\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Durante anos, a presen\u00e7a de vasos de grande calibre entre o ecoendosc\u00f3pio e a&hellip;<\/p>\n","protected":false},"author":2592,"featured_media":20108,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[409,357],"ano":[783],"tipo":[154],"volume":[263],"class_list":["post-20041","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-eus","tag-puncao-ecoguiada","ano-783","tipo-ecoendoscopia","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular? &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular?\" \/>\n<meta property=\"og:description\" content=\"Durante anos, a presen\u00e7a de vasos de grande calibre entre o ecoendosc\u00f3pio e a les\u00e3o representava um obst\u00e1culo intranspon\u00edvel. Mas os tempos mudaram: a\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:published_time\" content=\"2025-04-22T06:30:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-04-22T13:27:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/puncao-ecoguiada1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"436\" \/>\n\t<meta property=\"og:image:height\" content=\"335\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Joel Fernandez de Oliveira\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Joel Fernandez de Oliveira\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/\"},\"author\":{\"name\":\"Joel Fernandez de Oliveira\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/44154e75b8892daa6137c7c3e9f6acd0\"},\"headline\":\"Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular?\",\"datePublished\":\"2025-04-22T06:30:00+00:00\",\"dateModified\":\"2025-04-22T13:27:54+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/\"},\"wordCount\":536,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/04\/puncao-ecoguiada1.png\",\"keywords\":[\"eus\",\"pun\u00e7\u00e3o ecoguiada\"],\"articleSection\":[\"Assuntos Gerais\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-fazer-uma-puncao-ecoguiada-transvascular\/\",\"name\":\"Como fazer uma pun\u00e7\u00e3o ecoguiada transvascular? 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