Two-dimensional echocardiographically guided pericardiocentesis: Experience in 117 consecutive patients

John A. Callahan, James B. Seward, Rick A. Nishimura, Fletcher A Jr. Miller, Guy S. Reeder, Clarence Shub, Mark J. Callahan, Thomas T. Schattenberg, A. Jamil Tajik

Research output: Contribution to journalArticle

144 Citations (Scopus)

Abstract

Pericardiocentesis guided by 2-dimensional echocardiography has been used at the Mayo Clinic since April 1980. The 2-dimensional examination localizes the pericardial fluid. Particular note is made of the place on the body wall closest to the fluid. An entry track that permits puncture of the pericardial sac without damage to any vital structure is then selected for the pericardiocentesis needle. Between April 1980 and March 1984, 132 consecutive pericardiocenteses in 117 patients were done by this technique. The volume of fluid obtained ranged from 75 to 1,700 ml (mean 650). Seventy percent of the taps were done for therapy, 21% for diagnosis, and 9% for both therapy and diagnosis. A Teflon®-sheathed "intracath" needle was used to complete 80% of the pericardiocenteses. In the other 20%, a large catheter was secondarily introduced and connected to a closed drainage system. There were no deaths related to the procedure. One symptomatic pneumothorax occurred. There were 3 minor complications. Two-dimensional echocardiographic imaging of the heart and pericardial fluid permits a safe and effective means of performing pericardiocentesis.

Original languageEnglish (US)
Pages (from-to)476-479
Number of pages4
JournalThe American Journal of Cardiology
Volume55
Issue number4
DOIs
StatePublished - Feb 1 1985

Fingerprint

Pericardiocentesis
Needles
Pericardium
Polytetrafluoroethylene
Pneumothorax
Punctures
Echocardiography
Drainage
Catheters
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Two-dimensional echocardiographically guided pericardiocentesis : Experience in 117 consecutive patients. / Callahan, John A.; Seward, James B.; Nishimura, Rick A.; Miller, Fletcher A Jr.; Reeder, Guy S.; Shub, Clarence; Callahan, Mark J.; Schattenberg, Thomas T.; Tajik, A. Jamil.

In: The American Journal of Cardiology, Vol. 55, No. 4, 01.02.1985, p. 476-479.

Research output: Contribution to journalArticle

Callahan, JA, Seward, JB, Nishimura, RA, Miller, FAJ, Reeder, GS, Shub, C, Callahan, MJ, Schattenberg, TT & Tajik, AJ 1985, 'Two-dimensional echocardiographically guided pericardiocentesis: Experience in 117 consecutive patients', The American Journal of Cardiology, vol. 55, no. 4, pp. 476-479. https://doi.org/10.1016/0002-9149(85)90397-2
Callahan, John A. ; Seward, James B. ; Nishimura, Rick A. ; Miller, Fletcher A Jr. ; Reeder, Guy S. ; Shub, Clarence ; Callahan, Mark J. ; Schattenberg, Thomas T. ; Tajik, A. Jamil. / Two-dimensional echocardiographically guided pericardiocentesis : Experience in 117 consecutive patients. In: The American Journal of Cardiology. 1985 ; Vol. 55, No. 4. pp. 476-479.
@article{af315a3f4e9c4bfdbb06a31b673532e7,
title = "Two-dimensional echocardiographically guided pericardiocentesis: Experience in 117 consecutive patients",
abstract = "Pericardiocentesis guided by 2-dimensional echocardiography has been used at the Mayo Clinic since April 1980. The 2-dimensional examination localizes the pericardial fluid. Particular note is made of the place on the body wall closest to the fluid. An entry track that permits puncture of the pericardial sac without damage to any vital structure is then selected for the pericardiocentesis needle. Between April 1980 and March 1984, 132 consecutive pericardiocenteses in 117 patients were done by this technique. The volume of fluid obtained ranged from 75 to 1,700 ml (mean 650). Seventy percent of the taps were done for therapy, 21{\%} for diagnosis, and 9{\%} for both therapy and diagnosis. A Teflon{\circledR}-sheathed {"}intracath{"} needle was used to complete 80{\%} of the pericardiocenteses. In the other 20{\%}, a large catheter was secondarily introduced and connected to a closed drainage system. There were no deaths related to the procedure. One symptomatic pneumothorax occurred. There were 3 minor complications. Two-dimensional echocardiographic imaging of the heart and pericardial fluid permits a safe and effective means of performing pericardiocentesis.",
author = "Callahan, {John A.} and Seward, {James B.} and Nishimura, {Rick A.} and Miller, {Fletcher A Jr.} and Reeder, {Guy S.} and Clarence Shub and Callahan, {Mark J.} and Schattenberg, {Thomas T.} and Tajik, {A. Jamil}",
year = "1985",
month = "2",
day = "1",
doi = "10.1016/0002-9149(85)90397-2",
language = "English (US)",
volume = "55",
pages = "476--479",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Two-dimensional echocardiographically guided pericardiocentesis

T2 - Experience in 117 consecutive patients

AU - Callahan, John A.

AU - Seward, James B.

AU - Nishimura, Rick A.

AU - Miller, Fletcher A Jr.

AU - Reeder, Guy S.

AU - Shub, Clarence

AU - Callahan, Mark J.

AU - Schattenberg, Thomas T.

AU - Tajik, A. Jamil

PY - 1985/2/1

Y1 - 1985/2/1

N2 - Pericardiocentesis guided by 2-dimensional echocardiography has been used at the Mayo Clinic since April 1980. The 2-dimensional examination localizes the pericardial fluid. Particular note is made of the place on the body wall closest to the fluid. An entry track that permits puncture of the pericardial sac without damage to any vital structure is then selected for the pericardiocentesis needle. Between April 1980 and March 1984, 132 consecutive pericardiocenteses in 117 patients were done by this technique. The volume of fluid obtained ranged from 75 to 1,700 ml (mean 650). Seventy percent of the taps were done for therapy, 21% for diagnosis, and 9% for both therapy and diagnosis. A Teflon®-sheathed "intracath" needle was used to complete 80% of the pericardiocenteses. In the other 20%, a large catheter was secondarily introduced and connected to a closed drainage system. There were no deaths related to the procedure. One symptomatic pneumothorax occurred. There were 3 minor complications. Two-dimensional echocardiographic imaging of the heart and pericardial fluid permits a safe and effective means of performing pericardiocentesis.

AB - Pericardiocentesis guided by 2-dimensional echocardiography has been used at the Mayo Clinic since April 1980. The 2-dimensional examination localizes the pericardial fluid. Particular note is made of the place on the body wall closest to the fluid. An entry track that permits puncture of the pericardial sac without damage to any vital structure is then selected for the pericardiocentesis needle. Between April 1980 and March 1984, 132 consecutive pericardiocenteses in 117 patients were done by this technique. The volume of fluid obtained ranged from 75 to 1,700 ml (mean 650). Seventy percent of the taps were done for therapy, 21% for diagnosis, and 9% for both therapy and diagnosis. A Teflon®-sheathed "intracath" needle was used to complete 80% of the pericardiocenteses. In the other 20%, a large catheter was secondarily introduced and connected to a closed drainage system. There were no deaths related to the procedure. One symptomatic pneumothorax occurred. There were 3 minor complications. Two-dimensional echocardiographic imaging of the heart and pericardial fluid permits a safe and effective means of performing pericardiocentesis.

UR - http://www.scopus.com/inward/record.url?scp=0021947305&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021947305&partnerID=8YFLogxK

U2 - 10.1016/0002-9149(85)90397-2

DO - 10.1016/0002-9149(85)90397-2

M3 - Article

C2 - 3969885

AN - SCOPUS:0021947305

VL - 55

SP - 476

EP - 479

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 4

ER -