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Ann Thorac Surg 1988;45:99-100
© 1988 The Society of Thoracic Surgeons

Articles

Pericardiocentesis under Two-Dimensional Echocardiographic Guidance in Loculated Pericardial Effusion

Natesa G. Pandian, M.D.*, Barbara Brockway, B.S., Janet Simonetti, B.S., Ken Rosenfield, M.D., Robert M. Bojar, M.D., Richard J. Cleveland, M.D.

From the Departments of Cardiothoracic Surgery, Medicine and Radiology, Tufts-New England Medical Center, Boston, MA

Accepted for publication September 17, 1987.

* Address reprint requests to Dr. Pandian, Tufts-New England Medical Center, 750 Washington St, Box 32, Boston, MA 02111

Pericardiocentesis to relieve tamponade from a loculated pericardial effusion in patients following cardiac surgery is greatly aided by two-dimensional echocardiographic imaging guidance. This technique delineates the fluid distribution and the site of adhesions, defines the path for introduction of an aspiration needle, alerts to the possibility of myocardial contact, and helps in positioning the drainage catheter. Two-dimensional echocardiographic imaging can be performed at the patient's bedside, and the images are easy to interpret. This technique simplifies pericardiocentesis and helps to avoid complications.




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S. Suehiro, K. Hattori, T. Shibata, Y. Sasaki, H. Minamimura, and H. Kinoshita
Echocardiography-Guided Pericardiocentesis With a Needle Attached to a Probe
Ann. Thorac. Surg., February 1, 1996; 61(2): 741 - 742.
[Abstract] [Full Text]


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