Complications of percutaneous pericardiocentesis under fluoroscopic guidance
1992 (English)In: Acta Radiologica, ISSN 0284-1851, E-ISSN 1600-0455, Vol. 33, no 4, 309-313 p.Article in journal (Refereed) Published
Complications in 352 cases of fluoroscopy-guided percutaneous pericardiocentesis accomplished through an indwelling catheter were reviewed following surgery and non-surgery. Thirteen major complications were found, namely 3 cardiac perforations, 2 cardiac arrhythmias, 4 cases of arterial bleeding, 2 cases of pneumothorax in children, one infection, and one major vagal reaction. No significant difference in complications was found between pericardiocenteses for pericardial effusions after cardiac surgery (n = 208) and those for effusions of non-surgical (n = 144) origin. Fluoroscopy-guided pericardiocentesis by the subxiphoid approach with placement of an indwelling catheter is a safe method for achieving pericardial drainage in both surgical and non-surgical effusions. Accidental cardiac perforation with a fine needle is a minor complication as long as the needle is directed towards the anterior diaphragmatic border of the right ventricle and drainage is achieved with a reliable indwelling catheter.
Place, publisher, year, edition, pages
1992. Vol. 33, no 4, 309-313 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-165187PubMedID: 1633040OAI: oai:DiVA.org:uu-165187DiVA: diva2:472281