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Rivista sulle Malattie del Cuore e dei Vasi

Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2017 October;65(5):451-7

DOI: 10.23736/S0026-4725.16.04190-6


lingua: Inglese

Safety and efficacy of non-continuous echocardiography-guided pericardiocentesis: a single-center study of 478 patients

Ilaria BATTISTONI 1 , Marco MARINI 1, Luca ANGELINI 1, Matteo FRANCIONI 1, Alberto GILI 1, Stefano MORETTI 1, Carlo COSTANTINI 2, Christian CORINALDESI 1, Marica BORDICCHIA 3, Gian Piero PERNA 1

1 Department of Cardiovascular Diseases, Ospedali Riuniti, Ancona, Italy; 2 Department of Cardiovascular Diseases, Ospedali Riuniti Murri-Jesi, Jesi, Ancona, Italy; 3 Department of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy


BACKGROUND: There are limited contemporary data on the safety and efficacy of echocardiography-guided pericardiocentesis in Italy. The aim of the study was to evaluate safety and efficacy of pericardiocentesis, performed with non-continuous echocardiography monitoring. All the procedures performed at Department of Cardiovascular Disease, Ospedali Riuniti Ancona, from January 2001 to June 2013, were retrospectively analyzed to determine risks connected to the procedure and its success rate. Epidemiological data, procedure indications and etiology of the effusions were also recorded.
METHODS: In the study period, 478 pericardiocentesis were performed for cardiac tamponade (N.=161), to remove large amount of fluid (N.=215) or for diagnostic purposes (N.=102). Echocardiographic evaluation, performed just before the procedure, was used to define the site of entry, to measure the distance from the skin to the fluid, and to establish how to direct the needle.
RESULTS: We observed an extremely low rate of complications (<1%), without any death. The procedure was fully successful in 98% of cases and achieved only partial fluid removal in the remained 10 patients. The etiology of the effusion was malignancy or post cardiothoracic surgery in almost 60% of cases. Over the years there was an increase of pericardiocentesis performed after a cardiothoracic surgery (P=0.002); There was a significant reduction of the average amount of drained fluid in the years 2010-2013 vs. the period 2001-2009.
CONCLUSIONS: Echocardiography-guided pericardiocentesis is an effective and safe procedure, with a low rate of complications.

KEY WORDS: Pericardium - Pericardial effusion - Pericardiocentesis - Cardiac tamponade - Pericarditis

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Publication History

Issue published online: July 10, 2017
Article first published online: November 30, 2016
Manuscript accepted: November 29, 2016
Manuscript revised: November 16, 2016
Manuscript received: June 13, 2016

Per citare questo articolo

Battistoni I, Marini M, Angelini L, Francioni M, Gili A, Moretti S, et al. Safety and efficacy of non-continuous echocardiography-guided pericardiocentesis: a single-center study of 478 patients. Minerva Cardioangiol 2017;65:451-7. DOI: 10.23736/S0026-4725.16.04190-6

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