BACKGROUND: Percutaneous pericardiocentesis guided by 2-D echocardiography has been used at Linköping Heart Centre since 1983. AIM: To evaluate our experience of this method including a follow-up and also to determine the aetiology of pericardial effusion. METHODS: A retrospective study including 120 of 252 consecutive patients punctured. RESULTS: The two most common aetiologies were cardiac surgery (77% valve surgery), followed by malignant disease. The postsurgical effusions became clinically important a median of 12 days after surgery (range 0-56 days). The median survival in the group with malignant disease was 89 days (30-day survival 87%, 1-year survival 10%). Indwelling catheter was used in 93% of the patients. There was no mortality but one patient needed a second pericardiocentesis after an accidental puncture of the right ventricle. Nine patients had rhythm aberrations. Recurring effusion that needed puncture was seen in 8%. CONCLUSION: Pericardiocentesis guided by 2-D echocardiography is a safe and efficient method to treat pericardial effusion and also valuable as palliative treatment for patients with malignant aetiology of the effusion.
BACKGROUND: Percutaneous pericardiocentesis guided by 2-D echocardiography has been used at Linköping Heart Centre since 1983. AIM: To evaluate our experience of this method including a follow-up and also to determine the aetiology of pericardial effusion. METHODS: A retrospective study including 120 of 252 consecutive patients punctured. RESULTS: The two most common aetiologies were cardiac surgery (77% valve surgery), followed by malignant disease. The postsurgical effusions became clinically important a median of 12 days after surgery (range 0-56 days). The median survival in the group with malignant disease was 89 days (30-day survival 87%, 1-year survival 10%). Indwelling catheter was used in 93% of the patients. There was no mortality but one patient needed a second pericardiocentesis after an accidental puncture of the right ventricle. Nine patients had rhythm aberrations. Recurring effusion that needed puncture was seen in 8%. CONCLUSION: Pericardiocentesis guided by 2-D echocardiography is a safe and efficient method to treat pericardial effusion and also valuable as palliative treatment for patients with malignant aetiology of the effusion.
Authors: Danielle El Haddad; Cezar Iliescu; Syed Wamique Yusuf; William Nassib William; Tarif H Khair; Juhee Song; Elie N Mouhayar Journal: J Am Coll Cardiol Date: 2015-09-08 Impact factor: 24.094
Authors: Xian Pei Cheong; Lawrence Ka Peng Law; Swee-Chong Seow; Lik Wui Edgar Tay; Huay Cheem Tan; Wee Tiong Yeo; Adrian F Low; Pipin Kojodjojo Journal: Singapore Med J Date: 2019-07-11 Impact factor: 1.858
Authors: Ibrahim Alp; Murat Ugur; Ismail Selcuk; Ali Ertan Ulucan; Veysel Temizkan; Ahmet Turan Yilmaz Journal: Ann Thorac Cardiovasc Surg Date: 2019-05-08 Impact factor: 1.520
Authors: Marco Campo Dell'orto; Dorothea Hempel; Agnieszka Starzetz; Armin Seibel; Ulf Hannemann; Felix Walcher; Raoul Breitkreutz Journal: Emerg Med Int Date: 2013-10-29 Impact factor: 1.112