Complications of Percutaneous Pericardiocentesis under Fluoroscopic Guidance
| Autor: | Uno Erikson, Gunnar Helmius, Olov Duvernoy, Jan Borowiec |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
medicine.medical_specialty Percutaneous Adolescent medicine.medical_treatment Diaphragmatic breathing Pericardial Effusion 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Pericardium Radiology Nuclear Medicine and imaging Child Aged Radiological and Ultrasound Technology business.industry Infant General Medicine Middle Aged medicine.disease Cardiac surgery Surgery Catheter medicine.anatomical_structure Pneumothorax Pericardiocentesis Child Preschool Fluoroscopy 030220 oncology & carcinogenesis Drainage Radiology business Complication |
| Zdroj: | Acta Radiologica. 33:309-313 |
| ISSN: | 1600-0455 0284-1851 |
| DOI: | 10.1177/028418519203300405 |
| Popis: | Complications in 352 cases of fluoroscopy-guided percutaneous pericardiocentesis accomplished through an indwelling catheter were reviewed following surgery and non-surgery. Thirteen major complications were found, namely 3 cardiac perforations, 2 cardiac arrhythmias, 4 cases of arterial bleeding, 2 cases of pneumothorax in children, one infection, and one major vagal reaction. No significant difference in complications was found between pericardiocenteses for pericardial effusions after cardiac surgery (n = 208) and those for effusions of non-surgical (n = 144) origin. Fluoroscopy-guided pericardiocentesis by the subxiphoid approach with placement of an indwelling catheter is a safe method for achieving pericardial drainage in both surgical and non-surgical effusions. Accidental cardiac perforation with a fine needle is a minor complication as long as the needle is directed towards the anterior diaphragmatic border of the right ventricle and drainage is achieved with a reliable indwelling catheter. |
| Databáze: | OpenAIRE |
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