Feasibility and safety of CT-aided pericardiocentesis from a subxiphoid anterior approach by using fluoroscopy in patients with chronic pericardial effusions.

ABSTRACT:

Background

Pericardiocentesis is an essential procedure for the diagnosis and treatment of pericardial effusions. The purpose of this study was to evaluate the feasibility and safety of a subxiphoid anterior approach using fluoroscopy aided by a sagittal axis chest computed tomography (CT) view in comparison with an ultrasound-guided apical approach in patients with chronic pericardial effusion.

Methods

Among 72 consecutive patients (68.8 ± 14.4 years old, 52 males) with hemodynamically stable chronic pericardial effusions, a total of 85 procedures were retrospectively analyzed. We divided them into two groups according to the site of the approach for the pericardiocentesis.

Results

A subxiphoid anterior approach (n = 53) was performed guided by fluoroscopy. The sagit

SUBMITTER: Iwasaki YK 

PROVIDER: S-EPMC9045084 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature