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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...

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Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine
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Pericardiocentesis in contemporary practice.

Rebecca Inglis1, Andrew John King, Marcus Gleave

  • 1Cardiology Department, Royal Berkshire Hospital, Reading, United Kingdom.

The Journal of Invasive Cardiology
|June 8, 2011
PubMed
Summary
This summary is machine-generated.

Pericardiocentesis, a life-saving procedure, has low complication rates. However, the subcostal approach was linked to all major complications requiring surgery, suggesting an apical approach may be preferable.

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Procedures

Background:

  • Pericardiocentesis is a critical procedure for managing pericardial effusions.
  • The choice between apical and subcostal approaches for pericardiocentesis has not been well-defined regarding complication rates.
  • An increasing number of pericardial effusions are iatrogenic, often resulting from cardiac catheterization procedures.

Purpose of the Study:

  • To examine current practices in pericardiocentesis.
  • To analyze the complication rates associated with different pericardiocentesis approaches (apical vs. subcostal).
  • To evaluate the impact of patient anticoagulation status on complication rates.

Main Methods:

  • A historical cohort study was conducted.
  • Data were collected from four hospitals in Oxfordshire between November 2002 and October 2009.
  • Percutaneous pericardiocenteses were identified through local databases.

Main Results:

  • A total of 188 pericardiocenteses were performed in 163 patients.
  • Malignancy and catheter-based procedures were the most common indications for drainage.
  • The overall complication rate was 4.8% (9/188), with all 4 major surgical complications occurring via the subcostal route.

Conclusions:

  • A significant proportion of pericardiocenteses are performed in anticoagulated patients, particularly those with iatrogenic effusions.
  • While overall complication rates were low for both routes, the subcostal approach was associated with all major surgical complications.
  • An apical approach may be a safer alternative when anatomically feasible.