Ultrasound-guided pericardiocentesis: a novel parasternal approach

The aim of this study was to evaluate a novel pericardiocentesis technique using an in-plane parasternal medial-to-lateral approach with the use of a high-frequency probe in patients with cardiac tamponade. Background Echocardiography is pivotal in the diagnosis of pericardial effusion and tampon...

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Main Authors:	Osman, Adi, Tan, Wan Chuan, Ab Rahman, Jamalludin, Via, Gabriele, Tavazzi, Guido
Format:	Article
Language:	English English English
Published:	Wolters Kluwer Health, Inc. 2018
Subjects:	R Medicine (General) RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Online Access:	http://irep.iium.edu.my/60379/ http://irep.iium.edu.my/60379/ http://irep.iium.edu.my/60379/ http://irep.iium.edu.my/60379/1/60379_Ultrasound-guided%20pericardiocentesis%20a%20novel%20parasternal%20approach.pdf http://irep.iium.edu.my/60379/7/60379%20Ultrasound-guided%20pericardiocentesis%20SCOPUS.pdf http://irep.iium.edu.my/60379/8/60379%20Ultrasound-guided%20pericardiocentesis%20WOS.pdf

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spelling	iium-603792019-01-27T10:45:53Z http://irep.iium.edu.my/60379/ Ultrasound-guided pericardiocentesis: a novel parasternal approach Osman, Adi Tan, Wan Chuan Ab Rahman, Jamalludin Via, Gabriele Tavazzi, Guido R Medicine (General) RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid The aim of this study was to evaluate a novel pericardiocentesis technique using an in-plane parasternal medial-to-lateral approach with the use of a high-frequency probe in patients with cardiac tamponade. Background Echocardiography is pivotal in the diagnosis of pericardial effusion and tamponade physiology. Ultrasound guidance for pericardiocentesis is currently considered the standard of care. Several approaches have been described recently, which differ mainly on the site of puncture (subxiphoid, apical, or parasternal). Although they share the use of low-frequency probes, there is absence of complete control of needle trajectory and real-time needle visualization. An in-plane and real-time technique has only been described anecdotally. Methods and results A retrospective analysis of 11 patients (63% men, mean age: 37.7 ± 21.2 years) presenting with cardiac tamponade admitted to the tertiary-care emergency department and treated with parasternal medial-to-lateral in-plane pericardiocentesis was carried out. The underlying causes of cardiac tamponade were different among the population. All the pericardiocentesis were successfully performed in the emergency department, without complications, relieving the hemodynamic instability. The mean time taken to perform the eight-step procedure was 309± 76.4 s, with no procedure-related complications. Conclusion: The parasternal medial-to-lateral in-plane pericardiocentesis is a new technique theoretically free of complications and it enables real-time monitoring of needle trajectory. For the first time, a pericardiocentesis approach with a medial-to-lateral needle trajectory and real-time, inplane, needle visualization was performed in a tamponade patient population. Wolters Kluwer Health, Inc. 2018-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/60379/1/60379_Ultrasound-guided%20pericardiocentesis%20a%20novel%20parasternal%20approach.pdf application/pdf en http://irep.iium.edu.my/60379/7/60379%20Ultrasound-guided%20pericardiocentesis%20SCOPUS.pdf application/pdf en http://irep.iium.edu.my/60379/8/60379%20Ultrasound-guided%20pericardiocentesis%20WOS.pdf Osman, Adi and Tan, Wan Chuan and Ab Rahman, Jamalludin and Via, Gabriele and Tavazzi, Guido (2018) Ultrasound-guided pericardiocentesis: a novel parasternal approach. European Journal of Emergency Medicine, 25 (5). pp. 322-327. ISSN 0969-9546 https://journals.lww.com/euro-emergencymed/pages/default.aspx 10.1097/MEJ.0000000000000471
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	R Medicine (General) RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
spellingShingle	R Medicine (General) RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid Osman, Adi Tan, Wan Chuan Ab Rahman, Jamalludin Via, Gabriele Tavazzi, Guido Ultrasound-guided pericardiocentesis: a novel parasternal approach
description	The aim of this study was to evaluate a novel pericardiocentesis technique using an in-plane parasternal medial-to-lateral approach with the use of a high-frequency probe in patients with cardiac tamponade. Background Echocardiography is pivotal in the diagnosis of pericardial effusion and tamponade physiology. Ultrasound guidance for pericardiocentesis is currently considered the standard of care. Several approaches have been described recently, which differ mainly on the site of puncture (subxiphoid, apical, or parasternal). Although they share the use of low-frequency probes, there is absence of complete control of needle trajectory and real-time needle visualization. An in-plane and real-time technique has only been described anecdotally. Methods and results A retrospective analysis of 11 patients (63% men, mean age: 37.7 ± 21.2 years) presenting with cardiac tamponade admitted to the tertiary-care emergency department and treated with parasternal medial-to-lateral in-plane pericardiocentesis was carried out. The underlying causes of cardiac tamponade were different among the population. All the pericardiocentesis were successfully performed in the emergency department, without complications, relieving the hemodynamic instability. The mean time taken to perform the eight-step procedure was 309± 76.4 s, with no procedure-related complications. Conclusion: The parasternal medial-to-lateral in-plane pericardiocentesis is a new technique theoretically free of complications and it enables real-time monitoring of needle trajectory. For the first time, a pericardiocentesis approach with a medial-to-lateral needle trajectory and real-time, inplane, needle visualization was performed in a tamponade patient population.
format	Article
author	Osman, Adi Tan, Wan Chuan Ab Rahman, Jamalludin Via, Gabriele Tavazzi, Guido
author_facet	Osman, Adi Tan, Wan Chuan Ab Rahman, Jamalludin Via, Gabriele Tavazzi, Guido
author_sort	Osman, Adi
title	Ultrasound-guided pericardiocentesis: a novel parasternal approach
title_short	Ultrasound-guided pericardiocentesis: a novel parasternal approach
title_full	Ultrasound-guided pericardiocentesis: a novel parasternal approach
title_fullStr	Ultrasound-guided pericardiocentesis: a novel parasternal approach
title_full_unstemmed	Ultrasound-guided pericardiocentesis: a novel parasternal approach
title_sort	ultrasound-guided pericardiocentesis: a novel parasternal approach
publisher	Wolters Kluwer Health, Inc.
publishDate	2018
url	http://irep.iium.edu.my/60379/ http://irep.iium.edu.my/60379/ http://irep.iium.edu.my/60379/ http://irep.iium.edu.my/60379/1/60379_Ultrasound-guided%20pericardiocentesis%20a%20novel%20parasternal%20approach.pdf http://irep.iium.edu.my/60379/7/60379%20Ultrasound-guided%20pericardiocentesis%20SCOPUS.pdf http://irep.iium.edu.my/60379/8/60379%20Ultrasound-guided%20pericardiocentesis%20WOS.pdf
first_indexed	2023-09-18T21:25:35Z
last_indexed	2023-09-18T21:25:35Z
_version_	1777412169618423808

Ultrasound-guided pericardiocentesis: a novel parasternal approach

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