Document Detail


Computed tomography-fluoroscopy guided drainage of pericardial effusions: experience in 11 cases.
MedLine Citation:
PMID:  12021589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE AND OBJECTIVES: The purpose of the study was to evaluate feasibility and safety of CT-fluoroscopy in the drainage of pericardial effusion in cases not accessible by sonography. METHODS: Eleven drainages were performed in Seldinger-technique under CT-fluoroscopy on eight patients suffering from pericardial effusion. The inclusion criterion was a sonographically proved pericardial effusion not drainable under sonographic surveillance. In seven procedures the catheter was positioned using a medial, in four procedures a lateral approach from the apex was chosen. RESULTS: All catheters could be placed successfully (11/11) in the pericardial effusion and allowed for draining of the effusion in 10 of 11 cases. One epicardial laceration necessitated a surgical approach. The elapsed total procedure time for the drainage was on average 18:23 +/- 8:58 minutes. CONCLUSIONS: Visual surveillance by CT-fluoroscopy is a feasible method in the drainage of pericardial effusions even in cases not accessible by ultrasound.
Authors:
Roland Bruning; Michael Muehlstaedt; Christoph Becker; Andreas Knez; Ralph Haberl; Maximilian Reiser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Investigative radiology     Volume:  37     ISSN:  0020-9996     ISO Abbreviation:  Invest Radiol     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-05-21     Completed Date:  2002-08-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  328-32     Citation Subset:  IM    
Affiliation:
Institute for Clinical Radiology, University Hospital of Munich Marchioninistr, Munich-Grosshadern, Germany. bruening@ikra.med.uni-muenchen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Drainage / methods*
Evaluation Studies as Topic
Female
Fluoroscopy*
Humans
Male
Middle Aged
Pericardial Effusion / radiography,  therapy*,  ultrasonography
Punctures
Time Factors
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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