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Updated: May 12, 2026
14:24
Percutaneous Contrast Echocardiography-guided Intramyocardial Injection and Cell Delivery in a Large Preclinical Model
Published on: January 21, 2018
Echocardiography-guided or "sided" pericardiocentesis
Aleks Degirmencioglu1, Gultekin Karakus, Tolga Sinan Güvenc
1Department of Cardiology, Acibadem Maslak Hospital, Istanbul, Turkey.
Echocardiography (Mount Kisco, N.Y.)
|April 19, 2013
Summary
Bedside echocardiography before pericardiocentesis is sufficient for relieving cardiac tamponade. Detailed pre-procedure evaluation ensures safe and effective needle placement without real-time guidance, avoiding complications.
Area of Science:
- Cardiology
- Medical Imaging
- Interventional Procedures
Background:
- Echocardiography-guided pericardiocentesis is standard for cardiac tamponade relief.
- The necessity of real-time echocardiography during puncture remains debated.
Purpose of the Study:
- To assess the efficacy and safety of pre-procedure echocardiographic evaluation for guiding pericardiocentesis.
- To determine if real-time guidance is essential for successful cardiac tamponade relief.
Main Methods:
- Detailed pre-procedure echocardiographic assessment in 21 cardiac tamponade patients.
- Utilizing imaginary x, y, and z axes for precise needle positioning.
- Performing pericardiocentesis based on pre-procedure imaging.
Main Results:
- Successful pericardiocentesis was achieved in all 21 patients.
- No complications were reported with the described technique.
- Pre-procedure echocardiographic assessment accurately guided needle placement.
Conclusions:
- Bedside echocardiography with detailed pre-procedure site and angle evaluation is adequate for pericardiocentesis.
- Real-time echocardiographic guidance may not be necessary for this procedure.
- This approach offers a safe and effective alternative for cardiac tamponade management.
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