Contrast guided two-dimensional echocardiography for needle localization during pericardiocentesis: a case report

Area of Science:

• Cardiology
• Medical Imaging
• Interventional Procedures

Background:

• Pericardial effusion diagnosis and management.
• Challenges in pericardiocentesis needle placement.
• Echocardiography as a guidance tool.

Observation:

• A case of pericardial effusion requiring drainage.
• Utilized agitated saline as an echocardiographic contrast agent.
• Visualized needle tip within the pericardial space.

Findings:

• Agitated saline effectively confirmed pericardiocentesis needle location.
• The technique ensured accurate needle placement before catheter insertion.
• Prevented inadvertent catheter placement into the right ventricle.

Implications:

• Agitated saline offers a safe and reliable method for echocardiographic contrast in pericardiocentesis.
• Enhances procedural safety and efficacy in draining pericardial effusions.
• Potential to reduce complications associated with pericardiocentesis.