BACKGROUND: The purpose of the present study is to evaluate current echocardiographically (echo)-guided pericardiocentesis practice with regard to procedural success, complication rate, etiological causes, and outcomes of patients with clinically significant pericardial effusion. PATIENTS AND METHODS: Patients who underwent echo-guided pericardiocentesis between January 2004 and February 2014 were identified using an institutional code for the procedure. Other complementary data were obtained by interviewing patients or their relatives (directly or by telephone) and by searching the social security death index. RESULTS: A total of 301 patients were identified. The pericardium was approached via the subcostal (85 %) or apical (15 %) route under echo guidance in all procedures. The success rate was 97 %, with an intervention-requiring complication rate of 1.3 %. No patient died from complications. The most common etiology was malignancy (n = 84, 28 %). Patients were followed-up for a median of 35 months. Median survival for patients with malignant effusion was 5.9 months compared with 54 months for those with nonmalignant effusion. CONCLUSIONS: Echo-guided pericardiocentesis has a high success and low complication rate in current practice. Among etiologies, malignancy remains the most common cause of clinically significant pericardial effusion and is associated with a poor prognosis.
BACKGROUND: The purpose of the present study is to evaluate current echocardiographically (echo)-guided pericardiocentesis practice with regard to procedural success, complication rate, etiological causes, and outcomes of patients with clinically significant pericardial effusion. PATIENTS AND METHODS: Patients who underwent echo-guided pericardiocentesis between January 2004 and February 2014 were identified using an institutional code for the procedure. Other complementary data were obtained by interviewing patients or their relatives (directly or by telephone) and by searching the social security death index. RESULTS: A total of 301 patients were identified. The pericardium was approached via the subcostal (85 %) or apical (15 %) route under echo guidance in all procedures. The success rate was 97 %, with an intervention-requiring complication rate of 1.3 %. No patient died from complications. The most common etiology was malignancy (n = 84, 28 %). Patients were followed-up for a median of 35 months. Median survival for patients with malignant effusion was 5.9 months compared with 54 months for those with nonmalignant effusion. CONCLUSIONS: Echo-guided pericardiocentesis has a high success and low complication rate in current practice. Among etiologies, malignancy remains the most common cause of clinically significant pericardial effusion and is associated with a poor prognosis.
Authors: Arsen D Ristić; Massimo Imazio; Yehuda Adler; Aristides Anastasakis; Luigi P Badano; Antonio Brucato; Alida L P Caforio; Olivier Dubourg; Perry Elliott; Juan Gimeno; Tiina Helio; Karin Klingel; Aleš Linhart; Bernhard Maisch; Bongani Mayosi; Jens Mogensen; Yigal Pinto; Hubert Seggewiss; Petar M Seferović; Luigi Tavazzi; Witold Tomkowski; Philippe Charron Journal: Eur Heart J Date: 2014-07-07 Impact factor: 29.983
Authors: Teresa S M Tsang; Maurice Enriquez-Sarano; William K Freeman; Marion E Barnes; Lawrence J Sinak; Bernard J Gersh; Kent R Bailey; James B Seward Journal: Mayo Clin Proc Date: 2002-05 Impact factor: 7.616
Authors: G R Corey; P T Campbell; P Van Trigt; R T Kenney; C M O'Connor; K H Sheikh; J A Kisslo; T C Wall Journal: Am J Med Date: 1993-08 Impact factor: 4.965
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