Two-dimensional echocardiographically guided pericardiocentesis: experience in 117 consecutive patients

Area of Science:

• Cardiology
• Medical Imaging

Background:

• Pericardiocentesis is a procedure to remove fluid from the pericardial sac.
• Traditional methods carry risks of complications.

Purpose of the Study:

• To evaluate the safety and efficacy of 2-dimensional echocardiography-guided pericardiocentesis.
• To assess the outcomes of this technique in a clinical setting.

Main Methods:

• Utilized 2-dimensional echocardiography to localize pericardial fluid and plan needle entry.
• Performed 132 pericardiocenteses in 117 patients between April 1980 and March 1984.
• Employed a Teflon-sheathed needle or a secondary large catheter with a closed drainage system.

Main Results:

• Successfully performed 132 procedures with no procedure-related deaths.
• Fluid volumes ranged from 75 to 1,700 ml (mean 650 ml).
• Reported one symptomatic pneumothorax and three minor complications.

Conclusions:

• 2-dimensional echocardiography-guided pericardiocentesis is a safe and effective procedure.
• Echocardiographic imaging allows for precise needle placement, reducing risks.
• The technique is suitable for both therapeutic and diagnostic pericardiocentesis.