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Echocardiography-Guided Pericardial Drainage

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Management of Pericardial Disease
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Abstract

The clinical scenario of a patient who presents with symptomatic large pericardial effusion is relatively common in hospital-based practice [1]. Two management questions usually emerge: (1) should this effusion be drained?; (2) how should we do it? Percutaneous drainage of pericardial effusions with echocardiographic guidance has emerged as a commonly employed therapeutic and diagnostic option for these patients [2].

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References

  1. Imazio M, Adler Y. Management of pericardial effusion. Eur Heart J. 2013;34:1186–97.

    Article  PubMed  Google Scholar 

  2. Maisch B, Seferovic PM, Ristic AD, et al. Guidelines on the diagnosis and management of pericardial diseases executive summary; the task force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur Heart J. 2004;25:587–610.

    Article  PubMed  Google Scholar 

  3. Callahan JA, Seward JB, Nishimura RA, et al. Two-dimensional echocardiographically guided pericardiocentesis: experience in 117 consecutive patients. Am J Cardiol. 1985;55:476–9.

    Article  CAS  PubMed  Google Scholar 

  4. Kopecky SL, Callahan JA, Tajik AJ, Seward JB. Percutaneous pericardial catheter drainage: report of 42 consecutive cases. Am J Cardiol. 1986;58:633–5.

    Article  CAS  PubMed  Google Scholar 

  5. Tsang TS, Enriquez-Sarano M, Freeman WK, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc. 2002;77:429–36.

    Article  PubMed  Google Scholar 

  6. Tsang TS, Freeman WK, Sinak LJ, Seward JB. Echocardiographically guided pericardiocentesis: evolution and state-of-the-art technique. Mayo Clin Proc. 1998;73:647–52.

    Article  CAS  PubMed  Google Scholar 

  7. Tsang TS, El-Najdawi EK, Seward JB, Hagler DJ, Freeman WK, O’Leary PW. Percutaneous echocardiographically guided pericardiocentesis in pediatric patients: evaluation of safety and efficacy. J Am Soc Echocardiogr. 1998;11:1072–7.

    Article  CAS  PubMed  Google Scholar 

  8. Vaitkus PT, Herrmann HC, LeWinter MM. Treatment of malignant pericardial effusion. JAMA. 1994;272:59–64.

    Article  CAS  PubMed  Google Scholar 

  9. Wei JY, Taylor GJ, Achuff SC. Recurrent cardiac tamponade and large pericardial effusions: management with an indwelling pericardial catheter. Am J Cardiol. 1978;42:281–2.

    Article  CAS  PubMed  Google Scholar 

  10. Lindenberger M, Kjellberg M, Karlsson E, Wranne B. Pericardiocentesis guided by 2-D echocardiography: the method of choice for treatment of pericardial effusion. J Intern Med. 2003;253:411–7.

    Article  CAS  PubMed  Google Scholar 

  11. Kabukcu M, Demircioglu F, Yanik E, Basarici I, Ersel F. Pericardial tamponade and large pericardial effusions: causal factors and efficacy of percutaneous catheter drainage in 50 patients. Tex Heart Inst J. 2004;31:398–403.

    PubMed Central  PubMed  Google Scholar 

  12. Selig MB. Percutaneous transcatheter pericardial interventions: aspiration, biopsy, and pericardioplasty. Am Heart J. 1993;125:269–71.

    Article  CAS  PubMed  Google Scholar 

  13. Maisch B, Ristic AD. Practical aspects of the management of pericardial disease. Heart. 2003;89:1096–103.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Gibbs CR, Watson RD, Singh SP, Lip GY. Management of pericardial effusion by drainage: a survey of 10 years’ experience in a city centre general hospital serving a multiracial population. Postgrad Med J. 2000;76:809–13.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Meyers DG, Meyers RE, Prendergast TW. The usefulness of diagnostic tests on pericardial fluid. Chest. 1997;111:1213–21.

    Article  CAS  PubMed  Google Scholar 

  16. Wang PC, Yang KY, Chao JY, Liu JM, Perng RP, Yen SH. Prognostic role of pericardial fluid cytology in cardiac tamponade associated with non-small cell lung cancer. Chest. 2000;118:744–9.

    Article  CAS  PubMed  Google Scholar 

  17. de la Gandara I, Espinosa E, Gomez Cerezo J, Feliu J, Garcia Giron C. Pericardial tamponade as the first manifestation of adenocarcinoma. Acta Oncol. 1997;36:429–31.

    Article  PubMed  Google Scholar 

  18. Girardi LN, Ginsberg RJ, Burt ME. Pericardiocentesis and intrapericardial sclerosis: effective therapy for malignant pericardial effusions. Ann Thorac Surg. 1997;64:1422–7; discussion 1427–8.

    Article  CAS  PubMed  Google Scholar 

  19. Celermajer DS, Boyer MJ, Bailey BP, Tattersall MH. Pericardiocentesis for symptomatic malignant pericardial effusion: a study of 36 patients. Med J Aust. 1991;154:19–22.

    CAS  PubMed  Google Scholar 

  20. Zipf RE Jr, Johnston WW. The role of cytology in the evaluation of pericardial effusions. Chest. 1972;62:593–6.

    Article  PubMed  Google Scholar 

  21. Salem K, Mulji A, Lonn E. Echocardiographically guided pericardiocentesis - the gold standard for the management of pericardial effusion and cardiac tamponade. Can J Cardiol. 1999;15:1251–5.

    CAS  PubMed  Google Scholar 

  22. McDonald JM, Meyers BF, Guthrie TJ, Battafarano RJ, Cooper JD, Patterson GA. Comparison of open subxiphoid pericardial drainage with percutaneous catheter drainage for symptomatic pericardial effusion. Ann Thorac Surg. 2003;76:811–5; discussion 816.

    Article  PubMed  Google Scholar 

  23. Allen KB, Faber LP, Warren WH, Shaar CJ. Pericardial effusion: subxiphoid pericardiostomy versus percutaneous catheter drainage. Ann Thorac Surg. 1999;67:437–40.

    Article  CAS  PubMed  Google Scholar 

  24. Burgess LJ, Reuter H, Carstens ME, Taljaard JJ, Doubell AF. The use of adenosine deaminase and interferon-gamma as diagnostic tools for tuberculous pericarditis. Chest. 2002;122:900–5.

    Article  CAS  PubMed  Google Scholar 

  25. Lee JH, Lee CW, Lee SG, et al. Comparison of polymerase chain reaction with adenosine deaminase activity in pericardial fluid for the diagnosis of tuberculous pericarditis. Am J Med. 2002;113:519–21.

    Article  CAS  PubMed  Google Scholar 

  26. Reuter H, Burgess L, van Vuuren W, Doubell A. Diagnosing tuberculous pericarditis. QJM. 2006;99:827–39.

    Article  CAS  PubMed  Google Scholar 

  27. Sagrista Sauleda J, Almenar Bonet L, Angel Ferrer J, et al. The clinical practice guidelines of the Sociedad Espanola de Cardiologia on pericardial pathology. Rev Esp Cardiol. 2000;53:394–412.

    Article  CAS  PubMed  Google Scholar 

  28. Sherrid MV, Sherrid G, Uretsky S. Echocardiography-guided pericardial drainage. In: Herzog E, Chaudhry F, editors. Echocardiography in acute coronary syndromes from prevention to diagnosis and treatment. London: Springer; 2009. p. 333–40.

    Chapter  Google Scholar 

  29. Kronzon I, Glassman LR, Tunick PA. Avoiding the left internal mammary artery during anterior pericardiocentesis. Echocardiography. 2003;20:533–4.

    Article  PubMed  Google Scholar 

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Correspondence to Mark V. Sherrid MD .

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Sherrid, M.V. (2014). Echocardiography-Guided Pericardial Drainage. In: Herzog, E. (eds) Management of Pericardial Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-06124-5_11

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  • DOI: https://doi.org/10.1007/978-3-319-06124-5_11

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-06124-5

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