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Related Experiment Videos

Pericardiocentesis: a 20 patients study.

K Y Wang1, C L Hwang, D Y Lee

  • 1Division of Cardiology, Veterans General Hospital, Taiwan, Taichung, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|September 1, 1992
PubMed
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Emergency pericardiocentesis, guided by echocardiography, safely treats symptomatic pericardial effusion. Neoplastic pericardial involvement is the most frequent cause, highlighting the need to consider tuberculosis pericarditis.

Area of Science:

  • Cardiology
  • Oncology
  • Infectious Diseases

Background:

  • Symptomatic pericardial effusion presents diverse etiologies.
  • Neoplastic and infectious causes, including tuberculosis, are significant.

Purpose of the Study:

  • To evaluate the safety and efficacy of echocardiography-guided pericardiocentesis.
  • To identify common causes of pericardial effusion and their outcomes.

Main Methods:

  • Emergency pericardiocentesis performed on 20 patients with symptomatic pericardial effusion.
  • Two-dimensional echocardiography used for guidance and diagnosis.
  • Analysis of underlying causes, procedural approaches, and patient outcomes.

Main Results:

Related Experiment Videos

  • Echocardiography-guided pericardiocentesis was successful in all 20 cases, with no procedure-related mortality.
  • Neoplastic involvement (lung cancer, metastatic tumors) was the most frequent cause (9/20).
  • Pericardial fluid cytology detected malignancy in 89% (8/9); tuberculosis diagnostics were negative (0/4).
  • Conclusions:

    • Echocardiography-guided pericardiocentesis is a safe and effective procedure for symptomatic pericardial effusion.
    • Neoplastic pericardial effusion is highly prevalent.
    • Tuberculosis pericarditis remains a significant consideration, especially in specific regions.