Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:406
Year : 2020  |  Volume : 8  |  Issue : 1  |  Page : 13-16

Safety and efficacy of inserting double-lumen catheter under echo guidance for pericardial fluid tapping

1 Department of Pediatric Cardiology, KLES Dr. P. K. Hospital and MRC, Belgaum, Karnataka, India
2 KLE Heart Foundation, Dr. P. K. Hospital and Research Centre, Belgaum, Karnataka, India

Correspondence Address:
Dr. Veeresh F Manvi
Department of Pediatric Cardiology, KLES Dr. P. K. Hospital and MRC, Belgaum, Karnataka
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/heartindia.heartindia_44_19

Rights and Permissions

Background and Objectives: The aim of the article is to determine safety and efficacy of echocardiography (ECHO) guided pericardiocentesis at a quaternary care hospital. Cardiac tamponade is a life threatening condition which requires urgent pericardiocentesis. The pericardium has the ability to stretch and accommodate fluid but when the intra pericardial pressure becomes equal to right atrial pressure, the right ventricle collapses and hypotension occurs. Echocardiography guided pericardiocentesis is a useful technique. Methodology: We describe the echo guided drainage of cardiac tamponade done on emergency basis using central venous catheter (CVC). Subxiphoid approach was done in all the cases. The approximate distance from skin to pericardial fluid was mapped. Echo guided needle insertion was done. The fluid was aspirated and guide wire was inserted. The guide wire position in pericardial space was confirmed using echocardiography. The procedure was continued as per the Seldinger technique. Results: A total of twenty two patients underwent 24 procedures in a two year period. The procedure, outcomes and complications are discussed. The central venous catheter was inserted in 12 males and 10 females.. The fluid was straw colored in 14 cases, purulent in 5 and hemorrhagic in 3 cases. The age group ranged between 2 years to 14 years while the mean age was 7 years. The mean duration of central venous catheter placement was 48 hours. The procedural success rate was 100%. Conclusion and Interpretation: It was possible to perform the entire procedure in the pediatric intensive care unit (PICU) in all the cases without the need to shift to cardiac catheterization laboratory. Pericardial catheter insertion using CVC under echo guidance is a safe and effective technique for management of pericardial effusion.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded250    
    Comments [Add]    

Recommend this journal