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Percutaneous Balloon Pericardiotomy

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Interventional Pericardiology

Abstract

The management of hemodynamic instability caused by a growing pericardial effusion and cardiac tamponade requires the prompt evacuation of the effusion. This can be done either by pericardiocentesis or a surgical procedure. However, long-term prognosis of the patient and the risk for recurrences are not determined by the type of the initial procedure selected, but rather by the underlying etiology and the physician’s ability to treat the causal disease. Percutaneous balloon pericardiotomy is a palliative, alternative approach for the management of recurring pericardial effusion, applied so far mainly for recurrences of the neoplastic pericardial effusion [1]. The procedure is more complex than pericardiocentesis.

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References

  1. Ziskind AA, Palacios IF. Percutaneous balloon pericardiotomy for patients with pericardial effusion and tamponade. In: Topol EJ (ed) Textbook of Interventional Cardiology, 5th Edition. W.B. Saunders, Philadelphia, 2007, pp 977–985

    Google Scholar 

  2. Maisch B, Seferović PM, Ristić AD, et al. Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology. European Society of Cardiology Guidelines: Diagnosis and management of the pericardial diseases. Executive summary. Eur Heart J 2004; 25: 587–610

    Article  PubMed  Google Scholar 

  3. Ristić AD, Seferović PM, Maksimović R, Ostojić M. Percutaneous balloon pericardiotomy in neoplastic pericardial effusion. In: Seferović PM, Spodick DH, Maisch B. (eds) Pericardiology: Contemporary answers to continuing challenges. Science, Belgrade 2000, pp 427–438

    Google Scholar 

  4. Laham RJ, Cohen DJ, Kuntz RE, Baim DS, Lorell BH, Simons M. Pericardial effusion in patients with cancer: outcome with contemporary management strategies. Heart 1996; 75: 67–71

    Article  PubMed  CAS  Google Scholar 

  5. Ovunc K, Aytemir K, Ozer N, et al. Percutaneous balloon pericardiotomy for patients with malignant pericardial effusion including three malignant pleural mesotheliomas. Angiology 2001; 52(5): 323–329

    Article  PubMed  CAS  Google Scholar 

  6. Thanopoulos BD, Georgakopoulos D, Tsaousis GS, Triposkiadis F, Paphitis CA. Percutaneous balloon pericardiotomy for the treatment of large, nonmalignant pericardial effusions in children: immediate and medium-term results. Cathet Cardiovasc Diagn 1997; 40: 97–100

    Article  PubMed  CAS  Google Scholar 

  7. 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: 429–436

    Article  PubMed  Google Scholar 

  8. Palacios IF, Tuzcu EM, Ziskind AA, Younger J, Block PC. Percutaneous balloon pericardial window for patients with malignant pericardial effusion and tamponade. Cathet Cardiovasc Diag 1991; 22: 244–249

    Article  CAS  Google Scholar 

  9. Hajduczok ZD, Ferguson DW. Percutaneous balloon pericardiostomy for non surgical management of recurrent pericardial tamponade: a case report. Intensive Care Med 1991; 17: 299–301

    Article  PubMed  CAS  Google Scholar 

  10. Jackson G, Keane D, Mishra B. Percutaneous balloon pericardiotomy in the management of recurrent malignant pericardial effusions. Br Heart J 1992; 68: 613–615

    Article  PubMed  CAS  Google Scholar 

  11. Deb B, Crean P, Graham I. Percutaneous balloon pericardiotomy in the treatment of malignant pericardial effusion. Ir J Med Sci 1993; 162: 456–457

    Article  PubMed  CAS  Google Scholar 

  12. Chow LT, Chow WH. Mechanism of pericardial window creation by balloon pericardiotomy. Am J Cardiol 1993; 72: 1321–1322

    Article  PubMed  CAS  Google Scholar 

  13. Jackson G. Cardiology update. Balloon pericardiotomy. Nurs Stand 1994; 8: 52–53

    PubMed  CAS  Google Scholar 

  14. Ziskind AA, Pearce AC, Lemmon CC, et al. Percutaneous balloon pericardiotomy for the treatment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases. J Am Coll Cardiol 1993; 21: 1–5

    Article  PubMed  CAS  Google Scholar 

  15. Iaffaldano RA, Jones P, Lewis BE et al. Percutaneous balloon pericardiotomy: a double balloon technique. Cathet Cardiovasc Diagn 1995; 36: 79–81

    Article  PubMed  CAS  Google Scholar 

  16. Di Segni E, Lavee J, Kaplinsky E, Vered Z. Percutaneous balloon pericardiostomy for treatment of cardiac tamponade. Eur Heart J 1995; 16: 184–187

    PubMed  Google Scholar 

  17. Fakiolas CN, Beldekos DI, Foussas SG, et al. Percutaneous balloon pericardiotomy as a therapeutic alternative for cardiac tamponade and recurrent pericardial effusion. Acta Cardiol 1995; 50: 65–70

    PubMed  CAS  Google Scholar 

  18. Galli M, Politi A, Pedretti F, Castiglioni B, Zerboni S. Percutaneous balloon pericardiotomy for malignant pericardial tamponade. Chest 1995; 108: 1499–1501

    Article  PubMed  CAS  Google Scholar 

  19. Devlin GP, Smyth D, Charleson HA, Heaven DJ, McAlister HF. Balloon pericardiostomy: a new therapeutic option for malignant pericardial effusion. Aust N Z J Med 1996; 26: 556–558

    Article  PubMed  CAS  Google Scholar 

  20. Bertrand O, Legrand V, Kulbertus H. Percutaneous balloon pericardiotomy: a case report and analysis of mechanism of action. Cathet Cardiovasc Diagn 1996; 38: 180–182

    Article  PubMed  CAS  Google Scholar 

  21. Chow WH, Chow TC, Yip AS, Cheung KL. Inoue balloon pericardiotomy for patients with recurrent pericardial effusion. Angiology 1996; 47: 57–60

    Article  PubMed  CAS  Google Scholar 

  22. Seferović PM, Ristić AD, Petrović P, et al. Percutaneous balloon pericardiotomy – a novel interventional technique in clinical cardiology. Kardiologija (Yu) 1998; 3: 13–20

    Google Scholar 

  23. Sugimoto JT, Little AG, Ferguson MK, et al. Pericardial window: mechanisms of efficacy. Ann Thorac Surg 1990; 50: 442–445

    Article  PubMed  CAS  Google Scholar 

  24. Bahl VK, Chandra S, Goel A, Goswami KC, Wasir HS. Versatility of Inoue balloon catheter. Int J Cardiol 1997; 59: 75–83

    Article  PubMed  CAS  Google Scholar 

  25. Hsu KL, Tsai CH, Chiang FT, et al. Percutaneous balloon pericardiotomy for patients with recurrent pericardial effusion: using a novel double-balloon technique with one long and one short balloon. Am J Cardiol 1997; 80: 1635–1637

    Article  PubMed  CAS  Google Scholar 

  26. Sochman J, Peregrin J, Pavcnik D. The cutting pericardiotome: another option for pericardiopleural draining in recurrent pericardial effusion. Initial experience. Int J Cardiol 2001; 77(1): 69–74

    Article  PubMed  CAS  Google Scholar 

  27. Grumbach IM, Werner GS, Figulla HR. Percutaneous balloon pericardiotomy for the treatment of a malignant pericardial tamponade. Dtsch Med Wochenschr 1998; 123(23): 726–729

    Article  PubMed  CAS  Google Scholar 

  28. Furukawa A, Itoh A, Nakamura T, et al. Efficacy of percutaneous balloon pericardiotomy and intrapericardial instillation for the management of refractory pericardial effusion: a case report. J Cardiol 2007; 50(6): 389–395

    PubMed  Google Scholar 

  29. Aqel R, Mehta D, Zoghbi GJ. Percutaneous balloon pericardiotomy for the treatment of infected pericardial effusion with tamponade. J Invasive Cardiol 2006; 18(7): E194–197

    PubMed  Google Scholar 

  30. Marcy PY, Bondiau PY, Brunner P. Percutaneous treatment in patients presenting with malignant cardiac tamponade. Eur Radiol 2005; 15(9): 2000–2009

    Article  PubMed  CAS  Google Scholar 

  31. Jalisi FM, Morise AP, Haque R, Jain AC. Primary percutaneous balloon pericardiotomy. W V Med J 2004; 100(3): 102–105

    PubMed  Google Scholar 

  32. Wang HJ, Hsu KL, Chiang FT, Tseng CD, Tseng YZ, Liau CS. Technical and prognostic outcomes of double-balloon pericardiotomy for large malignancy-related pericardial effusions. Chest 2002; 122(3): 893–899

    Article  PubMed  Google Scholar 

  33. Vaitkus PT, Herrmann HC, LeWinter MM. Treatment of malignant pericardial effusion. JAMA 1994; 272(1): 59–64

    Article  PubMed  CAS  Google Scholar 

  34. Navarro Del Amo LF, Cordoba Polo M, et al. Percutaneous balloon pericardiotomy in patients with recurrent pericardial effusion. Rev Esp Cardiol 2002; 55(1): 25–28

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Internal Medicine – Cardiology, Philipps University Marburg, Marburg, Germany

    Bernhard Maisch MD, FESC, FACC (Professor of Internal Medicine – Cardiology, Director)

  2. Department of Cardiology, Institute of Cardiovascular Diseases, Clinical Center of Serbia, Belgrade University School of Medicine, Belgrade, Serbia

    Arsen D. Ristić MD, PhD, FESC (Associate Professor of Internal Medicine – Cardiology)

  3. Department of Cardiology Clinical Center of Serbia, Belgrade University School of Medicine, Belgrade, Serbia

    Petar M. Seferović MD, PhD, FESC, FACC (Professor of Internal Medicine – Cardiology)

  4. Diamond Health Care Centre, University of British Columbia, 2775 Laurel Street, BC V5Z 1M9, Vancouver, Canada

    Teresa S. M. Tsang MD, FACC (Professor of Medicine)

Authors
  1. Bernhard Maisch MD, FESC, FACC
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  2. Arsen D. Ristić MD, PhD, FESC
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  3. Petar M. Seferović MD, PhD, FESC, FACC
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  4. Teresa S. M. Tsang MD, FACC
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© 2011 Springer Medizin Verlag Heidelberg

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Maisch, B., Ristić, A.D., Seferović, P.M., Tsang, T.S.M. (2011). Percutaneous Balloon Pericardiotomy. In: Interventional Pericardiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11335-2_11

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  • DOI: https://doi.org/10.1007/978-3-642-11335-2_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11334-5

  • Online ISBN: 978-3-642-11335-2

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