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Acute Pericardial Disease: Pericardiocentesis and Percutaneous Pericardiotomy

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Acute Heart Failure

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Abstract

Pericardial diseases can present with a myriad of clinical manifestations including pericarditis, pericardial effusion, and tamponade. While pericarditis is often a self-limiting disorder that is responsive to nonsteroidal antiinflammatory agents, pericardial tamponade is a lifethreatening condition requiring immediate therapy. Echocardiography and cardiac catheterization are important diagnostic tools and helpful in guiding therapies. Percutaneous catheter-based therapies, including pericardiocentesis and percutaneous balloon pericardiotomy, are safe and effective therapeutic modalities. Percutaneous balloon pericardiotomy is a relatively novel catheter-based technique that is gradually replacing the more invasive surgical pericardial window procedures. Pericardiectomy, on the other hand, remains the definitive therapy for certain conditions such as constrictive pericardial disease. This chapter presents an overview of acute pericardial disorders, with an emphasis on catheter-based techniques for pericardial space decompression.

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Authors and Affiliations

  1. Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

    Hani Jneid MD, Andrew O. Maree MSc, MB BCh & Igor F. Palacios MD

  2. Harvard Medical School, Boston, MA, USA

    Hani Jneid MD, Andrew O. Maree MSc, MB BCh & Igor F. Palacios MD

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  1. Hani Jneid MD
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  2. Andrew O. Maree MSc, MB BCh
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  3. Igor F. Palacios MD
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Editors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, Lariboisière University Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris Diderot, Paris, France

    Alexandre Mebazaa MD, PhD (Professor of Medicine) (Professor of Medicine)

  2. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    Mihai Gheorghiade MD, FACC (Professor of Medicine and Surgery, Associate Chief, Division of Cardiology and Chief, Cardiology Clinical Service) (Professor of Medicine and Surgery, Associate Chief, Division of Cardiology and Chief, Cardiology Clinical Service)

  3. Department of Cardiology Centre d’Investigation Clinique (CIC), INSERM U-684, Centre Hospitalier Universitaire, University Henri Poincaré, Nancy, France

    Faiez M. Zannad MD, PhD, FESC (Professor of Medicine) (Professor of Medicine)

  4. Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Camden, NJ, USA

    Joseph E. Parrillo MD (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director) (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director)

  5. Cooper Heart Institute, Cooper University Hospital, Camden, NJ, USA

    Joseph E. Parrillo MD (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director) (Professor of Medicine, Chief, Department of Medicine Edward D. Viner MD Chair, Department of Medicine and Director)

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© 2008 Springer-Verlag London Limited

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Jneid, H., Maree, A.O., Palacios, I.F. (2008). Acute Pericardial Disease: Pericardiocentesis and Percutaneous Pericardiotomy. In: Mebazaa, A., Gheorghiade, M., Zannad, F.M., Parrillo, J.E. (eds) Acute Heart Failure. Springer, London. https://doi.org/10.1007/978-1-84628-782-4_24

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  • DOI: https://doi.org/10.1007/978-1-84628-782-4_24

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-781-7

  • Online ISBN: 978-1-84628-782-4

  • eBook Packages: MedicineMedicine (R0)

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