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ALLMedicine™ Pericardiocentesis Center - Research & Reviews

Transabdominal ligation of the thoracic duct with pericardial-peritoneal shunting in a ...
https://doi.org/10.1016/j.jpedsurg.2013.04.004
Journal of Pediatric Surgery; Rivera-Beltrán S, Ortíz VN et. al.

Jul 12th, 2013 - Primary chylous pericardial effusion is a rare entity with few cases reported so far. We report a case of idiopathic etiology in a previously healthy 16-year-old boy. The patient presented with intermittent chest pain and dizziness caused by a chronic pericardial effusion. An echocardiogram revealing a pericardial effusion and open pericardiocentesis with a drainage of approximately of 500 ml o...

Pericardial effusions in pulmonary arterial hypertension: characteristics, prognosis, a...
https://doi.org/10.1378/chest.12-3033
Chest Fenstad ER, Le RJ et. al.

Aug 20th, 2013 - The presence and size of a pericardial effusion in pulmonary arterial hypertension (PAH) and its association with outcome is unclear. In this single-center cohort study of 577 patients with group 1 PAH seen between January 1, 1995, and December 31, 2005, all patients underwent transthoracic echocardiography and were followed for ≥ 5 years. Echocardiography-guided pericardiocentesis was performe...

Comparison of Outcomes of Pericardiocentesis Versus Surgical Pericardial Window in Pati...
https://doi.org/10.1016/j.amjcard.2017.06.003
The American Journal of Cardiology; Horr SE, Mentias A et. al.

Jul 25th, 2017 - Comparative outcomes of patients undergoing pericardiocentesis or pericardial window are limited. Development of pericardial effusion after cardiac surgery is common but no data exist to guide best management. Procedural billing codes and Cleveland Clinic surgical registries were used to identify 1,281 patients who underwent either pericardiocentesis or surgical pericardial window between Janua...

Retrospective comparison of outcomes, diagnostic value, and complications of percutaneo...
https://doi.org/10.1016/j.amjcard.2013.05.066
The American Journal of Cardiology; Patel N, Rafique AM et. al.

Jul 5th, 2013 - Surgical pericardiotomy is often preferred as a primary option in patients with malignant pericardial effusions. Recent series have revealed that prolonged drainage substantially reduces pericardial effusion recurrence rates, even in the setting of malignancy. The aim of the study was to directly compare the efficacy of pericardiocentesis with prolonged drainage with the primary surgical perica...

Myopericarditis in tuberculous pericardial effusion: prevalence, predictors and outcome.
https://doi.org/10.1136/heartjnl-2013-304786
Heart (British Cardiac Society); Syed FF, Ntsekhe M et. al.

Nov 20th, 2013 - The prevalence, predictors and outcome of myopericarditis in patients with tuberculous (TB) pericarditis are unknown. Eighty-one patients (mean age±SD, 36.1±13.3 years; 54 (66.7%) men; 58 (71.6%) HIV seropositive) with TB pericarditis were recruited between January 2006 and September 2008. Myopericarditis was defined as echocardiographic LV systolic dysfunction (immediately after pericardiocent...

Videos in clinical medicine. Emergency pericardiocentesis.
https://doi.org/10.1056/NEJMvcm0907841
The New England Journal of Medicine; Fitch MT, Nicks BA et. al.

Mar 22nd, 2012 - Videos in clinical medicine. Emergency pericardiocentesis.|2012|Fitch MT,Nicks BA,Pariyadath M,McGinnis HD,Manthey DE,|diagnosis,surgery,methods,adverse effects,instrumentation,methods,

Echocardiography-guided or "sided" pericardiocentesis.
https://doi.org/10.1111/echo.12214
Echocardiography (Mount Kisco, N.Y.); Degirmencioglu A, Karakus G et. al.

Apr 18th, 2013 - Echocardiography-guided pericardiocentesis is the first choice method for relieving cardiac tamponade, but the exact role of the echocardiography at the moment of the puncture is still controversial. In this report, detailed echocardiographic evaluation was performed in 21 consecutive patients with cardiac tamponade just before the pericardiocentesis. Appropriate needle position was determined ...

Pericardiocentesis: a clinical anatomy review.
https://doi.org/10.1002/ca.22032
Clinical Anatomy (New York, N.Y.); Loukas M, Walters A et. al.

Feb 1st, 2012 - The safe and successful performance of pericardiocentesis demands a working and specific knowledge of anatomy. Misunderstanding of anatomy may result in failure or serious complications. This review attempts to aid understanding of the anatomical framework, pitfalls, and complications of pericardiocentesis. Pericardiocentesis is carried out for aspiration of blood from the pericardial cavity in...

Frequency of recurrence of pericardial tamponade in patients with extended versus nonex...
https://doi.org/10.1016/j.amjcard.2011.07.057
The American Journal of Cardiology; Rafique AM, Patel N et. al.

Sep 12th, 2011 - Recurrence of pericardial tamponade is relatively common after pericardiocentesis. We evaluated the clinical and procedural predictors of recurrent pericardial tamponade after pericardiocentesis. We included 157 consecutive patients with pericardial tamponade (age 62 ± 18 years, 54% men) who had undergone pericardiocentesis from 2000 to 2007. An intrapericardial catheter was used for prolonged ...

Controlled pericardiocentesis in patients with cardiac tamponade complicating aortic di...
https://doi.org/10.1177/2048872614549737
European Heart Journal. Acute Cardiovascular Care; Cruz I, Stuart B et. al.

Sep 3rd, 2014 - Cardiac tamponade has been reported in 18.7% of patients with acute type A aortic dissection and its presence is associated with worse outcomes. Emergency aortic repair together with intra-operative pericardial drainage is the recommended treatment approach. However, controversy surrounds how to manage patients with haemopericardium and cardiac tamponade who cannot survive until surgery. To des...

Evaluation and management of pericardial effusion in patients with neoplastic disease.
https://doi.org/10.1016/j.pcad.2010.06.003
Progress in Cardiovascular Diseases; Maisch B, Ristic A et. al.

Aug 23rd, 2010 - The incidence and extent of pericardial involvement in neoplastic disease varies. In a considerable number of patients with breast or lung cancer or with mediastinal lymphoma, in addition to direct involvement by the tumor, radiation therapy as well as systemic tumor treatment can also lead to pericardial effusion. In addition, in immunosuppressed tumor patients, pericardial effusion can also a...

A novel in-plane technique for ultrasound-guided pericardiocentesis.
https://doi.org/10.1016/j.ajem.2013.05.021
The American Journal of Emergency Medicine; Nagdev A, Mantuani D

Jul 2nd, 2013 - Ultrasound-guided procedures are becoming very common in emergency medicine and critical care. Ultrasound guidance for pericardiocentesis has been shown to reduce errors as compared with the landmark-based technique. A simplified in-plane ultrasound-guided pericardiocentesis allows the clinician an opportunity to visualize the needle and the guide wire during the procedure. In addition, post pr...

Outcomes of Cancer Patients Undergoing Percutaneous Pericardiocentesis for Pericardial ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560839
Journal of the American College of Cardiology; El Haddad D, Iliescu C et. al.

Sep 4th, 2015 - Pericardial effusion (PE) is common in cancer patients, but the optimal therapeutic approach is not well defined. Percutaneous pericardiocentesis is less invasive than surgery, but its long-term effectiveness and safety have not been well documented. The goal of this study was to evaluate outcomes of cancer patients undergoing percutaneous pericardiocentesis for PE and assess the procedure's sa...

Systematic review of percutaneous interventions for malignant pericardial effusion.
https://doi.org/10.1136/heartjnl-2015-307907
Heart (British Cardiac Society); Virk SA, Chandrakumar D et. al.

Jul 16th, 2015 - The present systematic review assessed the safety and efficacy of percutaneous interventions for malignant pericardial effusion (MPE), with primary endpoint of recurrence of pericardial effusion. Electronic searches of six databases identified thirty-one studies, reporting outcomes following isolated pericardiocentesis (n=305), pericardiocentesis followed by extended catheter drainage (n=486), ...

Echo-guided pericardiocentesis: let the bubbles show the way.
https://doi.org/10.1161/CIRCULATIONAHA.110.005512
Circulation Ainsworth CD, Salehian O

Feb 1st, 2011 - Echo-guided pericardiocentesis: let the bubbles show the way.|2011|Ainsworth CD,Salehian O,|surgery,complications,complications,diagnosis,complications,diagnosis,surgery,diagnostic imaging,methods,surgery,surgery,

Reversing dabigatran in life-threatening bleeding occurring during cardiac ablation wit...
https://doi.org/10.1097/CCM.0b013e31827caaa3
Critical Care Medicine; Dager WE, Gosselin RC et. al.

Mar 11th, 2013 - We report a case of a patient receiving dabigatran who developed a life-threatening bleeding complication during cardiac ablation that rapidly resolved after administration of Factor Eight Inhibitor Bypassing Activity (FEIBA). Therapeutic anticoagulation with warfarin during cardiac ablation has been shown to reduce the risk of stroke and systemic embolism. Cardiac tamponade is a potentially li...

Left ventricular pseudoaneurysm after pericardiocentesis.
https://doi.org/10.1510/icvts.2008.185983
Interactive Cardiovascular and Thoracic Surgery; Patanè F, Sansone F et. al.

Aug 13th, 2008 - We present the case of a patient with recurrent episodes of pericardial effusion and fever. During approximately one month, the patient was treated with double pericardiocentesis for cardiac tamponade and the last of them was interrupted for the suspect of left ventricular puncture due to aspiration of arterial blood from the needle used for pericardiocentesis. Considering the suspect of infect...

Pericardiocentesis – How to do it.
https://doi.org/10.1016/j.hlc.2014.11.009
Heart, Lung & Circulation; Gluer R, Murdoch D et. al.

Feb 1st, 2015 - Pericardiocentesis is an important diagnostic and therapeutic technique, with the potential for significant morbidity and mortality if performed incorrectly. This article attempts to cover the anatomy, preparation, and techniques necessary to successfully perform pericardiocentesis.

Successful outcome after prenatal treatment of a cardiac diverticulum with massive peri...
https://doi.org/10.1159/000208170
Fetal Diagnosis and Therapy; Abi-Nader K, David AL et. al.

Mar 16th, 2009 - Congenital ventricular cardiac diverticula are rare. They may occur prenatally in association with a pericardial effusion which, if large enough, can compromise fetal circulatory and lung development. Parental counseling is difficult because some cases resolve in the second trimester and others progress to worsening hydrops and intrauterine death. We present a case associated with a massive per...

Real-time cardiovascular magnetic resonance subxiphoid pericardial access and pericardi...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733815
Journal of Cardiovascular Magnetic Resonance : Official J... Halabi M, Faranesh AZ et. al.

Jul 22nd, 2013 - Needle access or drainage of pericardial effusion, especially when small, entails risk of bystander tissue injury or operator uncertainty about proposed trajectories. Cardiovascular magnetic resonance (CMR) might allow enhanced imaging guidance. We used real-time CMR to guide subxiphoid pericardial access in naïve swine using commercial 18G titanium puncture needles, which were exchanged for pe...