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Highly controlled vascular syringes for pericardiocentesis.

Mark Ricciardi1, Carlos Roldan, Randy Sibbitt

  • 1University of New Mexico Health Sciences Center, Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA.

The Journal of Invasive Cardiology
|December 4, 2010
PubMed
Summary

Highly controlled vascular syringes significantly improve needle control during pericardiocentesis, reducing unintended needle movement and enhancing patient safety. These devices facilitate one-handed aspiration and injection, offering a safer and potentially more cost-effective alternative.

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Area of Science:

  • Cardiovascular Procedures
  • Medical Device Technology
  • Interventional Cardiology

Background:

  • Vascular syringes enhance safety in cardiovascular procedures but haven't been applied to pericardiocentesis.
  • This study introduces vascular syringes for pericardiocentesis.

Purpose of the Study:

  • To determine the utility and needle control of vascular syringes in image-guided pericardiocentesis.
  • To evaluate the method of use for vascular syringes in this procedure.

Main Methods:

  • A reciprocating procedure device (RPD) syringe replaced conventional syringes in pericardiocentesis trays.
  • The RPD syringe allows one-handed aspiration/injection.
  • Needle tip control was measured in millimeters using linear displacement in 20 operators across 437 procedures.

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Main Results:

  • Vascular syringes reduced unintended needle penetration by 44-53% and retraction by 56-60% compared to conventional syringes (p < 0.001).
  • The device enabled facile one-handed aspiration and needle clearing.
  • No complications occurred in 437 procedures, with estimated cost savings of $10-65 per procedure.

Conclusions:

  • Vascular syringes enhance needle control during pericardiocentesis.
  • These devices promote patient safety and allow for one-handed aspiration and injection.