Erschienen in:
19.10.2023 | Pericardial Disease (AL Klein and CL Jellis, Section Editors)
Computed Tomography–Guided Pericardiocentesis: A Practical Guide
verfasst von:
Kunaal R. Bafna, Anouva Kalra-Lall, Ram Kishore Gurajala, Karunakaravel Karuppasamy
Erschienen in:
Current Cardiology Reports
|
Ausgabe 11/2023
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Abstract
Purpose of Review
The purpose of this article is to serve as a practical guide to computed tomography (CT)–guided pericardiocentesis and to discuss the role of this approach in current clinical practice. An overview of indications, technique, advantages, and limitations specific to CT-guided pericardiocentesis will be provided. The reader will have an enhanced understanding of the use of this imaging modality to guide pericardial drainage.
Recent Findings
Use of CT guidance to drain the pericardial space is safe, especially when adequate echocardiographic evaluation is precluded and when echocardiography-guided pericardiocentesis is deemed unsafe and or not feasible.
Summary
Our review and experience indicate that CT-guided pericardiocentesis is technically successful in more than 94% of patients, with a low risk (<1%) of significant complications. CT-guided pericardiocentesis is therefore a viable alternative when echocardiographic guidance is insufficient and can obviate the need for surgery in most patients.