Document Detail

A new diagnostic and therapeutic approach to pericardial effusion: transbronchial needle aspiration.
MedLine Citation:
PMID:  12740297     Owner:  NLM     Status:  MEDLINE    
Pericardiocentesis was introduced during the 19th century, and reached its current level of development with the introduction of two-dimensional echocardiography. Although there is general agreement that complications are rare with skilled operators, a diagnostic and therapeutic problem often occurs when there is a posterior pericardial effusion, as it is not easy to quantify by echocardiography, and difficult to drain through a percutaneous access; therefore, it is usually treated surgically. We describe a new approach to pericardial effusion by a transbronchial access through the left lower lobe bronchus (which allows both diagnosis and evacuation of abundant amounts of fluid), or through the distal trachea (for diagnostic purpose only, in the presence of pericardial effusions filling the aortic recess of the pericardium). The technique is rather easy for operators skilled in transbronchial needle aspiration, and is safe, economical, and well tolerated.
Loris Ceron; Massimo Manzato; Franco Mazzaro; Federico Bellavere
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  123     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-05-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1753-8     Citation Subset:  AIM; IM    
Department of Internal Medicine, Villa Salus General Hospital, Venice, Italy.
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MeSH Terms
Aged, 80 and over
Pericardial Effusion / radiography,  therapy*
Pericardiocentesis / adverse effects,  methods*
Tomography, X-Ray Computed

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