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Updated: Jan 25, 2026

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Safety Pericardiocentesis with Fluoroscopy Following Cardiac Surgery.

Ibrahim Alp1, Murat Ugur1, Ismail Selcuk1

  • 1Department of Cardiovascular Surgery, Sultan Abdulhamid Han Training Hospital, Istanbul, Turkey.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|May 10, 2019
PubMed
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Fluoroscopy safely guides pericardiocentesis for postoperative pericardial effusions when echocardiography is limited. This imaging method minimizes procedural risks and ensures effective fluid drainage in challenging cardiac surgery cases.

Keywords:
fluoroscopypericardial effusionpericardiocentesis

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Procedures

Background:

  • Postoperative pericardial effusions can complicate cardiac surgery.
  • Accurate puncture site determination for pericardiocentesis is crucial.
  • Contrast echocardiography may be limited by surgical artifacts and pulmonary issues.

Purpose of the Study:

  • To evaluate fluoroscopy as an alternative imaging method for pericardiocentesis.
  • To improve the safety and efficacy of treating postoperative pericardial effusions.
  • To reduce complications associated with pericardiocentesis in challenging cases.

Main Methods:

  • Retrospective analysis of 63 patients undergoing pericardiocentesis (January 2008 - April 2018).
  • Procedures performed in a semi-seated position using echocardiography and fluoroscopy guidance.
  • Percutaneous drainage following catheterization.

Main Results:

  • All effusions were located posterolaterally.
  • Mean aspirated fluid volume was 404 ± 173 mL.
  • No procedural or follow-up complications were observed; complete drainage confirmed by echocardiography.

Conclusions:

  • Fluoroscopy is a valuable alternative imaging tool for pericardiocentesis in complex postoperative scenarios.
  • It enhances accurate catheter placement, minimizing procedural risks.
  • Ensures safe and effective pericardial fluid drainage after cardiac surgery.