Document Detail

Avoiding the left internal mammary artery during anterior pericardiocentesis.
MedLine Citation:
PMID:  12859366     Owner:  NLM     Status:  MEDLINE    
In patients with pericardial effusions who require anterior pericardiocentesis, it is important to avoid trauma to the left internal mammary artery. Such trauma could result in severe bleeding or tamponade. This article describes how the left internal mammary artery may be identified by duplex ultrasound, and therefore avoided. It is also important to ensure that the needle stick is just lateral to the artery, to avoid hitting the left lung.
Itzhak Kronzon; Lawrence R Glassman; Paul A Tunick
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  20     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-15     Completed Date:  2003-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  533-4     Citation Subset:  IM    
Department of Medicine and Department of Surgery, Noninvasive Cardiology Laboratory, NYU School of Medicine, New York, New York 10016, USA.
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MeSH Terms
Echocardiography* / methods
Mammary Arteries*
Pericardial Effusion / therapy,  ultrasonography
Pericardiocentesis* / methods

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