Pericardiocentesis guided by 2-D echocardiography: The method of choice for treatment of pericardial effusion
2003 (English)In: Journal of Internal Medicine, ISSN 0954-6820, Vol. 253, no 4, 411-417 p.Article in journal (Refereed) Published
Background. Percutaneous pericardiocentesis guided by 2-D echocardiography has been used at Link÷ping Heart Centre since 1983. Aim. To evaluate our experience of this method including a follow-up and also to determine the aetiology of pericardial effusion. Methods. A retrospective study including 120 of 252 consecutive patients punctured. Results. The two most common aetiologies were cardiac surgery (77% valve surgery), followed by malignant disease. The postsurgical effusions became clinically important a median of 12 days after surgery (range 0-56 days). The median survival in the group with malignant disease was 89 days (30-day survival 87%, 1-year survival 10%). Indwelling catheter was used in 93% of the patients. There was no mortality but one patient needed a second pericardiocentesis after an accidental puncture of the right ventricle. Nine patients had rhythm aberrations. Recurring effusion that needed puncture was seen in 8%. Conclusion. Pericardiocentesis guided by 2-D echocardiography is a safe and efficient method to treat pericardial effusion and also valuable as palliative treatment for patients with malignant aetiology of the effusion.
Place, publisher, year, edition, pages
2003. Vol. 253, no 4, 411-417 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-26970DOI: 10.1046/j.1365-2796.2003.01103.xLocal ID: 11604OAI: oai:DiVA.org:liu-26970DiVA: diva2:247521