Overview of Optimal Techniques for Pericardiocentesis in Contemporary Practice

Sushil Allen Luis, Garvan C. Kane, Chris R. Luis, Jae K. Oh, Lawrence J. Sinak

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of Review: This review summarizes the optimal techniques for the performance of pericardiocentesis in contemporary practice, highlighting the indications, contraindications, and techniques used. Routine pericardial catheter management and the diagnostic role of pericardial fluid analysis are described. Recent Findings: Echocardiographic-guided pericardiocentesis should be considered the therapy of choice in current clinical practice and may be performed safely despite the presence of coagulopathy and thrombocytopenia in the hands of expert operators. Computed tomography (CT)-guided techniques may provide a useful adjunctive tool in patients with poor acoustic windows or complex loculated effusions. Conservative management utilizing pericardiocentesis may be considered in select patients with device lead and interventional-related pericardial effusions. Summary: Echocardiographic-guided pericardiocentesis with extended pericardial drainage (goal output < 50 mL/24 h) should be considered the standard of care in contemporary practice. Pericardial fluid analysis should be tailored based on the clinical history and appearances of the pericardial fluid.

Original languageEnglish (US)
Article number60
JournalCurrent cardiology reports
Volume22
Issue number8
DOIs
StatePublished - Aug 1 2020

Keywords

  • Cardiac tamponade
  • Echocardiography-guided pericardiocentesis
  • Pericardial effusion
  • Pericardial fluid analysis
  • Pericardiocentesis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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