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Percutaneous Therapy in Pericardial Diseases.
Bernhard Maisch1, Arsen D Ristić2, Sabine Pankuweit3
1Faculty of Medicine, Philipps University and Heart and Vessel Center, Feldbergstr. 45, Marburg 35043, Germany.
Cardiology Clinics
|October 14, 2017
Summary
Interventional procedures like pericardiocentesis and intrapericardial therapy offer effective treatments for pericardial diseases. Advanced imaging guidance enhances the safety and success of these minimally invasive cardiac interventions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Pericardial diseases require interventions beyond medical management.
- Traditional drainage methods may be insufficient for managing pericardial effusions.
Purpose of the Study:
- To review interventional procedures for pericardial diseases.
- To highlight advancements in devices and guidance for pericardial interventions.
Main Methods:
- Review of interventional techniques including pericardiocentesis, drainage, intrapericardial therapy, and percutaneous pericardiotomy/pericardiostomy.
- Discussion of device innovations for pericardial access.
- Emphasis on echocardiographic and fluoroscopic guidance.
Main Results:
- Echocardiographic and fluoroscopic guidance significantly improve safety and feasibility of procedures.
- Various devices have been developed to aid pericardial access for procedures like epicardial ablations.
- Intrapericardial medications can prevent recurrence and induce sclerosis in selected effusion cases.
Conclusions:
- Interventional cardiology offers a range of procedures for pericardial diseases.
- Technological advancements enhance the efficacy and safety of these interventions.
- Tailored intrapericardial therapies provide options for refractory pericardial effusions.