Subscribe to RSS
DOI: 10.1055/s-0042-1753523
Pericardial Drain Placement in Interventional Radiology: An Overview
Abstract
Pericardial effusions can occur from multiple different etiologies. Although often incidentally noted or clinically silent, pericardial effusions may cause significant hemodynamic compromise. In some of these patients, pericardiocentesis may be temporizing only and either repeat procedures or placement of pericardial drains may be preferable. While cardiologists typically perform pericardial drain placement, it is a procedure that may also be performed by interventional radiologists. This article describes for the interventional radiologist the indications and placement technique, as well as potential complications occurring from pericardial drain placement.
Keywords
interventional radiology - pericardial effusion - tamponade - drainage - pericardiocentesisPublication History
Article published online:
31 August 2022
© 2022. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Loukas M, Walters A, Boon JM, Welch TP, Meiring JH, Abrahams PH. Pericardiocentesis: a clinical anatomy review. Clin Anat 2012; 25 (07) 872-881
- 2 Massumi RA, Rios JC, Ross AM, Ewy GA. Technique for insertion of an indwelling intrapericardial catheter. Br Heart J 1968; 30 (03) 333-335
- 3 Owens WC, Schaefer RA, Rahimtoola SH. Pericardiocentesis: insertion of a pericardial catheter. Cathet Cardiovasc Diagn 1975; 1 (03) 317-321
- 4 Glancy DL, Richter MA. Catheter drainage of the pericardial space. Cathet Cardiovasc Diagn 1975; 1 (03) 311-315
- 5 Kim EY, Won JH, Kim J, Park JS. Percutaneous pericardial effusion drainage under ultrasonographic and fluoroscopic guidance for symptomatic pericardial effusion: a single-center experience in 93 consecutive patients. J Vasc Interv Radiol 2015; 26 (10) 1533-1538
- 6 Buchanan CL, Sullivan VV, Lampman R, Kulkarni MG. Pericardiocentesis with extended catheter drainage: an effective therapy. Ann Thorac Surg 2003; 76 (03) 817-820
- 7 Kopecky SL, Callahan JA, Tajik AJ, Seward JB. Percutaneous pericardial catheter drainage: report of 42 consecutive cases. Am J Cardiol 1986; 58 (07) 633-635
- 8 Sinnaeve PR, Adriaenssens T. A contemporary look at pericardiocentesis. Trends Cardiovasc Med 2019; 29 (07) 375-383
- 9 Duvernoy O, Borowiec J, Helmius G, Erikson U. Complications of percutaneous pericardiocentesis under fluoroscopic guidance. Acta Radiol 1992; 33 (04) 309-313
- 10 Bishop Jr LH, Estes Jr EH, McIntosh HD. The electrocardiogram as a safeguard in pericardiocentesis. J Am Med Assoc 1956; 162 (04) 264-265
- 11 Tweddell JS, Zimmerman AN, Stone CM. et al. Pericardiocentesis guided by a pulse generator. J Am Coll Cardiol 1989; 14 (04) 1074-1083
- 12 Rodriguez ER, Tan CD. Structure and anatomy of the human pericardium. Prog Cardiovasc Dis 2017; 59 (04) 327-340
- 13 Strobbe A, Adriaenssens T, Bennett J. et al. Etiology and long-term outcome of patients undergoing pericardiocentesis. J Am Heart Assoc 2017; 6 (12) e007598
- 14 Corey GR, Campbell PT, Van Trigt P. et al. Etiology of large pericardial effusions. Am J Med 1993; 95 (02) 209-213
- 15 Imazio M, Hoit BD. Post-cardiac injury syndromes. An emerging cause of pericardial diseases. Int J Cardiol 2013; 168 (02) 648-652
- 16 Adler Y, Charron P, Imazio M. et al; ESC Scientific Document Group. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2015; 36 (42) 2921-2964
- 17 Ziskind AA, Pearce AC, Lemmon CC. et al. Percutaneous balloon pericardiotomy for the treatment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases. J Am Coll Cardiol 1993; 21 (01) 1-5
- 18 Schroeppel DeBacker SE, Sarwar A, Weinstein JL, Laham R, Ahmed M. Percutaneous balloon pericardiotomy and indwelling pericardial-pleural drain placement for refractory malignant pericardial effusion. J Vasc Interv Radiol 2019; 30 (08) 1208-1209
- 19 Lin MT, Yang PC, Luh KT. Constrictive pericarditis after sclerosing therapy with mitomycin C for malignant pericardial effusion: report of a case. J Formos Med Assoc 1994; 93 (03) 250-252
- 20 Anderson TM, Ray CW, Nwogu CE. et al. Pericardial catheter sclerosis versus surgical procedures for pericardial effusions in cancer patients. J Cardiovasc Surg (Torino) 2001; 42 (03) 415-419
- 21 Maher EA, Shepherd FA, Todd TJ. Pericardial sclerosis as the primary management of malignant pericardial effusion and cardiac tamponade. J Thorac Cardiovasc Surg 1996; 112 (03) 637-643
- 22 Klein SV, Afridi H, Agarwal D, Coughlin BF, Schielke LH. CT directed diagnostic and therapeutic pericardiocentesis: 8-year experience at a single institution. Emerg Radiol 2005; 11 (06) 353-363
- 23 Menaker J, Cushman J, Vermillion JM, Rosenthal RE, Scalea TM. Ultrasound-diagnosed cardiac tamponade after blunt abdominal trauma-treated with emergent thoracotomy. J Emerg Med 2007; 32 (01) 99-103
- 24 Maisch B, Seferović PM, Ristić AD. et al; Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology. Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur Heart J 2004; 25 (07) 587-610
- 25 Kumar R, Sinha A, Lin MJ. et al. Complications of pericardiocentesis: a clinical synopsis. Int J Crit Illn Inj Sci 2015; 5 (03) 206-212
- 26 Saltzman AJ, Paz YE, Rene AG. et al. Comparison of surgical pericardial drainage with percutaneous catheter drainage for pericardial effusion. J Invasive Cardiol 2012; 24 (11) 590-593
- 27 Nguyen CT, Lee E, Luo H, Siegel RJ. Echocardiographic guidance for diagnostic and therapeutic percutaneous procedures. Cardiovasc Diagn Ther 2011; 1 (01) 11-36
- 28 Vayre F, Lardoux H, Pezzano M, Bourdarias JP, Dubourg O. Subxiphoid pericardiocentesis guided by contrast two-dimensional echocardiography in cardiac tamponade: experience of 110 consecutive patients. Eur J Echocardiogr 2000; 1 (01) 66-71