CT-guided pericardiocenteses: Clinical profile, practice patterns and clinical outcome

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• 作者：Katrin Eichler ; Stephan Zangos ; Axel Thalhammer ; Volkmar Jacobi ; Felix Walcher ; Ingo Marzi ; Anton Moritz ; Thomas J. Vogl ; Martin G. Mack
• 关键词：CT-guided pericardiocenteses ; Pericardial effusion ; Haematoma
• 刊名：European Journal of Radiology
• 出版年：2010
• 出版时间：July 2010
• 年：2010
• 卷：75
• 期：1
• 页码：28-31
• 全文大小：696 K

文摘

Objective

To assess the effectiveness and clinical outcome and technique of CT-guided pericardiocenteses in the treatment of pericardial effusions in adults and children.

Methods

20 drainages were performed in Seldinger-technique under CT-guidance on 20 patients suffering from pericardial effusions and haematomas. In 85 % , the etiology of effusion was postoperative.

The mean age of the patients was 59 years (minimum 9 years, maximum 86 years).There were 12 male and eight female patients. The inclusion criterion was an echocardiographically relevant proved pericardial effusion.

Results

All catheters could be placed successfully (20/20) in the pericardial effusion and allowed for draining of the effusion in all cases under CT-guidance. The overall 30-day mortality rate was 0 % . CT-guided pericardiocentesis was successful for withdrawing pericardial fluid and/or relieving tamponade in 100 % of all procedures. No major complication was occurred. A total of one minor complication (5 % ) occurred that required no specific interventions, except for monitoring and appropriate follow-up. We observed one pneumothorax as a minor complication.

Conclusions

Pericardial effusions of various causes can be safely, effectively, and quickly managed with CT-guided pericardiocenteses in adults and children. The ventrolateral entry side for the puncture should be preferred to reach the whole effusion and avoid complications, like a pneumothorax.