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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

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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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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.
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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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Fluoroscopic Pericardiocentesis by Cardiac Surgeons: Hybrid Setup Outcomes.

Erturk Karaagac1, Nuri Utkan Tunca1, Serkan Yazman1

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Fluoroscopy-guided pericardiocentesis in a hybrid operating room is safe and effective for cardiac tamponade, showing low complication and re-intervention rates. This procedure offers a feasible workflow for cardiac surgeons, even in high-risk patients.

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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Pericardiocentesis is crucial for treating cardiac tamponade.
  • Hybrid operating rooms offer advanced surgical infrastructure.
  • Fluoroscopy provides real-time anatomical visualization.

Purpose of the Study:

  • To evaluate the safety and efficacy of fluoroscopy-guided pericardiocentesis.
  • To assess short-term outcomes in a hybrid operating room setting.
  • To determine the feasibility for cardiovascular surgeons.

Main Methods:

  • Retrospective analysis of 64 patients undergoing fluoroscopy-guided pericardiocentesis.
  • Procedures performed in a hybrid operating room using a subxiphoid approach and pigtail catheter.
  • Data collected between January 2020 and December 2024.

Main Results:

  • Significant reduction in pericardial effusion diameter (24 mm to 7 mm, p < 0.001).
  • Low minor complication rate (1.5%, one pneumothorax).
  • No surgical conversions and low re-intervention rate (3.1% within three months).

Conclusions:

  • Fluoroscopy-guided pericardiocentesis in hybrid ORs is safe and effective.
  • Low complication and recurrence rates observed, even in malignancy.
  • Feasible workflow for cardiac surgeons, but requires further comparative studies.