Subxiphoid pericardiocentesis guided by contrast two-dimensional echocardiography in cardiac tamponade: Experience of 110 consecutive patients*

Vayre, F; Lardoux, H; Pezzano, M; Bourdarias, Jean-Pierre; Dubourg, Olivier

doi:10.1053/euje.1999.0003

Cited by 67 publications

(44 citation statements)

References 31 publications

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“…9 However, echocardiograpic guidance increases the success rate of pericardiocentesis by reducing these complications. 6,10,11 The experiences of PE and echo-guided percutaneous pericardiocentesis from several centers have been published. 2,12 -16 But the data on Koreans, or the far east Asians, is rare and the prognosis according to etiology is not dictated in any of the articles.…”

Section: Introductionmentioning

confidence: 99%

Prognosis of Large, Symptomatic Pericardial Effusion Treated by Echo‐guided Percutaneous Pericardiocentesis

Kil

Jung

Koh

et al. 2008

Clinical Cardiology

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Backgrounds:The causes and prognosis of pericardial effusion (PE) may be different according to time, region, economy, and hospital. This study was performed to evaluate the etiology, clinical outcome, and prognosis of patients with large, symptomatic PE treated by echo-guided pericardiocentesis at Kangnam St. Mary's Hopital (the Catholic University of Korea, Seoul, Korea). Hypothesis: According to etiologies of large, symptomatic PE, the prognosis of patients may be different. Methods: We reviewed 116 consecutive patients who underwent echo-guided pericardiocentesis due to large, symptomatic PE over the last 12 y. The Kaplan-Meier survival curve with log-rank method was applied for the survival analysis.Results: Procedural success rate of echo-guided pericardiocentesis was 99.1%. Common causes of PE requiring pericardiocentesis were lung cancer (27.6%), tuberculosis (TB) (13.8%), and uremia (6.9%). The mortality rate of 6 mo after the pericardiocentesis was 80.3% in malignant PE, whereas the over-all mortality rate was 18.2% in nonmalignant PE (p<0.0001). Among the malignant PE, lung cancer (27.6%) and breast cancers (6.9%) were the most common causes. The mean cytologic detection rate and mean life expectancy of malignant PE were 44% and 5-7 mo. Patients with breast cancer and lymphoma had relatively better life expectancy (11.4 and 7.7 mo), whereas those with stomach cancer and metastases of unknown origin (MUO) had poorer prognosis (1.2 and 2.3 mo). The most common causes of nonmalignant PE were TB, uremia, and iatrogenic, and their mean life expectancy was approximately 54 mo. Conclusions: Malignancy, especially lung cancer and TB, were the most common causes of large symptomatic PE. The prognosis of large symptomatic PE was related to the underlying disease. Malignant PE was associated with the poorest prognosis.

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Section: Introductionmentioning

confidence: 99%

Prognosis of Large, Symptomatic Pericardial Effusion Treated by Echo‐guided Percutaneous Pericardiocentesis

Kil

Jung

Koh

et al. 2008

Clinical Cardiology

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“…7 The injection of contrast through the 'seeker' needle may help to alleviate fears of ventricular puncture when the fluid aspirated is haemorrhagic in appearance. 7 Fluid should be aspirated and an indwelling drainage catheter left in situ on free flow for at least 24 hours. There is no consensus on how long the drain should remain in situ or how quickly to remove the fluid, however, longer drainage may reduce the need for surgical exploration.…”

Section: Discussionmentioning

confidence: 99%

Delayed pericardial effusions: life-threatening complication presenting up to 100 days after chest trauma

et al. 2010

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“…On the other hand, histologic diagnosis can be reached in 18-33% of patients to whom sampling was performed (3,4). Thus nowadays pericardiocentesis is generally used for therapeutic purposes rather than diagnostic purposes.…”

Section: Indicationsmentioning

confidence: 99%

Pericardicentesis and Contemporary Practice

Turfan

Murat²,

Akyel³

et al. 2013

ELECTRON J GEN MED

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Subxiphoid pericardiocentesis guided by contrast two-dimensional echocardiography in cardiac tamponade: Experience of 110 consecutive patients*

Cited by 67 publications

References 31 publications

Prognosis of Large, Symptomatic Pericardial Effusion Treated by Echo‐guided Percutaneous Pericardiocentesis

Prognosis of Large, Symptomatic Pericardial Effusion Treated by Echo‐guided Percutaneous Pericardiocentesis

Delayed pericardial effusions: life-threatening complication presenting up to 100 days after chest trauma

Pericardicentesis and Contemporary Practice

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