CT-guided pericardiocenteses: Clinical profile, practice patterns and clinical outcome |
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Authors: | Katrin Eichler Stephan Zangos Volkmar Jacobi Ingo Marzi Thomas J Vogl |
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Institution: | a Department of Diagnostic and Interventional Radiology, University of Frankfurt, Frankfurt, Germany b Department of Trauma, Hand and Reconstructive Surgery, University of Frankfurt, Frankfurt, Germany c Department of Thoracic and Cardiovascular Surgery, University of Frankfurt, Frankfurt, Germany |
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Abstract: | ObjectiveTo assess the effectiveness and clinical outcome and technique of CT-guided pericardiocenteses in the treatment of pericardial effusions in adults and children.Methods20 drainages were performed in Seldinger-technique under CT-guidance on 20 patients suffering from pericardial effusions and haematomas. In 85%, the etiology of effusion was postoperative.The mean age of the patients was 59 years (minimum 9 years, maximum 86 years).There were 12 male and eight female patients. The inclusion criterion was an echocardiographically relevant proved pericardial effusion.ResultsAll catheters could be placed successfully (20/20) in the pericardial effusion and allowed for draining of the effusion in all cases under CT-guidance. The overall 30-day mortality rate was 0%. CT-guided pericardiocentesis was successful for withdrawing pericardial fluid and/or relieving tamponade in 100% of all procedures. No major complication was occurred. A total of one minor complication (5%) occurred that required no specific interventions, except for monitoring and appropriate follow-up. We observed one pneumothorax as a minor complication.ConclusionsPericardial effusions of various causes can be safely, effectively, and quickly managed with CT-guided pericardiocenteses in adults and children. The ventrolateral entry side for the puncture should be preferred to reach the whole effusion and avoid complications, like a pneumothorax. |
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Keywords: | CT-guided pericardiocenteses Pericardial effusion Haematoma |
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