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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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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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Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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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...
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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

296
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...
296
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

13
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...
13
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

9
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...
9
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

22
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Related Experiment Video

Updated: Jul 12, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
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Computed Tomography-Guided Pericardiocentesis: A Practical Guide.

Kunaal R Bafna1, Anouva Kalra-Lall1, Ram Kishore Gurajala1

  • 1Section of Interventional Radiology, Cleveland Clinic 9500 Euclid Avenue, L10, Cleveland, OH, 44195, USA.

Current Cardiology Reports
|October 19, 2023
PubMed
Summary

Computed tomography (CT)-guided pericardiocentesis offers a safe and effective method for draining the pericardial space. This technique is a viable alternative when echocardiography is not feasible, achieving over 94% technical success with minimal complications.

Keywords:
CT-guided procedureComputed tomography–guided drainagePericardial drainagePericardial effusionPericardiocentesisPneumopericardium

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Area of Science:

  • Medical Imaging
  • Interventional Cardiology
  • Thoracic Surgery

Background:

  • Pericardial effusion management is critical.
  • Echocardiography is the standard guidance, but limitations exist.
  • Computed tomography (CT) offers an alternative imaging modality.

Purpose of the Study:

  • To provide a practical guide to CT-guided pericardiocentesis.
  • To discuss its role in current clinical practice.
  • To enhance understanding of CT for pericardial drainage.

Main Methods:

  • Review of indications, technique, advantages, and limitations of CT-guided pericardiocentesis.
  • Analysis of clinical experience and existing literature.

Main Results:

  • CT-guided pericardiocentesis is safe and effective, especially when echocardiography is precluded or unsafe.
  • Technical success rate exceeds 94%.
  • Significant complication risk is low (<1%).

Conclusions:

  • CT-guided pericardiocentesis is a technically successful and safe alternative to echocardiography-guided procedures.
  • It obviates the need for surgery in many cases.
  • It is a valuable tool for pericardial drainage when other methods are insufficient.