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Related Experiment Videos

Microbubble image enhancement and pericardiocentesis

J O'Sullivan1, A Heads, S Hunter

  • 1Department of Paediatric Cardiology, Freeman Hospital, Newcastle upon Tyne, UK.

International Journal of Cardiology
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

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Ultrasound guidance for pericardiocentesis enhances safety. Injecting fluid with microbubbles confirms needle position, allowing complex cases to be performed outside the catheter lab.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Procedures

Background:

  • Pericardiocentesis requires precise needle placement to avoid cardiac chambers, especially with difficult effusions.
  • Traditional methods like X-ray screening have limitations, particularly in resource-limited settings.

Purpose of the Study:

  • To describe an ultrasound-guided technique for pericardiocentesis that improves safety and accessibility.
  • To demonstrate a method for confirming needle tip location within the pericardial space.

Main Methods:

  • Utilizing ultrasound to guide needle insertion during pericardiocentesis.
  • Injecting a small volume of fluid through the needle if blood-stained fluid is aspirated.
  • Observing microbubble formation via ultrasound to delineate the needle's position.

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Main Results:

  • The microbubble technique effectively outlines the pericardial space, confirming needle placement.
  • This ultrasound modification enhances procedural safety and accuracy.
  • Difficult pericardiocentesis cases can be managed safely using this method.

Conclusions:

  • Ultrasound-guided pericardiocentesis with microbubble confirmation is a safe and effective technique.
  • This approach expands the feasibility of performing pericardiocentesis in various clinical settings, including wards and ICUs.
  • It offers an alternative to X-ray screening, particularly when it is not readily available.