Computed Tomography–Guided Pericardiocentesis: A Practical Guide

Purpose of Review The purpose of this article is to serve as a practical guide to computed tomography (CT)–guided pericardiocentesis and to discuss the role of this approach in current clinical practice. An overview of indications, technique, advantages, and limitations specific to CT-guided pericar...

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Bibliographic Details
Published in:Current cardiology reports 2023-11, Vol.25 (11), p.1433-1441
Main Authors: Bafna, Kunaal R., Kalra-Lall, Anouva, Gurajala, Ram Kishore, Karuppasamy, Karunakaravel
Format: Article
Language:English
Subjects:
Cardiology
Drainage
Echocardiography
Humans
Medicine
Medicine & Public Health
Pericardial Disease (AL Klein and CL Jellis
Pericardial Effusion - diagnostic imaging
Pericardial Effusion - surgery
Pericardiocentesis - adverse effects
Pericardiocentesis - methods
Section Editors
Tomography, X-Ray Computed
Topical Collection on Pericardial Disease
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Summary:Purpose of Review The purpose of this article is to serve as a practical guide to computed tomography (CT)–guided pericardiocentesis and to discuss the role of this approach in current clinical practice. An overview of indications, technique, advantages, and limitations specific to CT-guided pericardiocentesis will be provided. The reader will have an enhanced understanding of the use of this imaging modality to guide pericardial drainage. Recent Findings Use of CT guidance to drain the pericardial space is safe, especially when adequate echocardiographic evaluation is precluded and when echocardiography-guided pericardiocentesis is deemed unsafe and or not feasible. Summary Our review and experience indicate that CT-guided pericardiocentesis is technically successful in more than 94% of patients, with a low risk (
ISSN:1523-3782
1534-3170
DOI:10.1007/s11886-023-01965-9