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Pericardiocentesis

  • Lisa Bergersen
  • Susan Foerster
  • Audrey C. Marshall
  • Jeffery Meadows

Abstract

The indications for removal of fluid from the pericardial space fall into two categories: diagnostic and therapeutic. Most diagnostic pericardiocenteses occur in the context of chronic effusions, to assess for viral or bacterial infection, neoplasia, storage disease, or a connective tissue disorder. Therapeutic “taps” may be required in either elective or emergent circumstances. The former will include patients with recurrent, large-volume pericardial effusions, with a myriad of causes, including post-pericardiotomy syndrome, neoplasia, disorders of lymphatic drainage, and idiopathic effusions. Most of the emergent procedures are the result of misadventures in the catheterization lab or in hemodynamically compromised postoperative patients.

Keywords

Pigtail Catheter Pericardial Space Emergent Circumstance Luer Lock Syringe Lateral Fluoroscopy Imaging 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Lisa Bergersen
    • 1
  • Susan Foerster
    • 2
  • Audrey C. Marshall
    • 1
  • Jeffery Meadows
    • 3
  1. 1.Department of CardiologyChildren’s Hospital BostonBostonUSA
  2. 2.Washington University in St. LouisSt. LouisUSA
  3. 3.Division of Pediatric CardiologyUniversity of California at San FranciscoSan FranciscoUSA

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