Interventional Pericardiology

  title={Interventional Pericardiology},
  author={M. Bhargava and O. Wazni and W. Saliba},
  journal={Current Cardiology Reports},
The space that exists between the visceral and parietal pericardium has a small amount of fluid under physiologic conditions. The pericardial layers and this fluid in combination have a protective role and also offer fluidity of motion and shock absorbance. The pericardium and the fluid can often be involved in pathologies involving the myocardium or sometimes be independently involved in primary diseases of the pericardium with secondary hemodynamic effects. In physiologic and pathologic… Expand
Staphylococcal Pericarditis Causing Pericardial Tamponade and Concurrent Empyema
The patient rapidly developed tamponade and was successfully treated with antibiotics and urgent percutaneous pericardial drainage with placement of a temporary catheter, and Thoracic surgery should be consulted as soon as possible to determine need for surgical intervention. Expand
Modificaciones a la técnica clásica de pericardiotomía inferior longitudinal simple de Sauerbruch
Some simple maneuvers that may facilitate subxiphoid pericardial access and shorten the surgery time are presented. Expand
Pericardial fluid: an underrated molecular library of heart conditions and a potential vehicle for cardiac therapy
The suitability of pericardial fluid for biomarker research could be demonstrated by evident molecular profiles between different conditions as well as by stronger correlations to cardiac structural and functional parameters, fainter or lacking in plasma/serum. Expand
Effusive-constrictive pericarditis: current perspectives
This work is licensed to and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( 3.0/). Expand


A new diagnostic and therapeutic approach to pericardial effusion: transbronchial needle aspiration.
This work describes a new approach to pericardial effusion by a transbronchial access through the left lower lobe bronchus, or through the distal trachea, which is safe, economical, and well tolerated. Expand
Pericardioscopy for diagnosing penetrating cardiac trauma.
The use of diagnostic pericardioscopy in a hemodynamically stable patient with penetrating cardiac trauma is presented, and this procedure excluded significant cardiac injury and spared the patient from a major nontherapeutic procedure. Expand
Utility of the lateral fluoroscopic view for subxiphoid pericardial access.
The left lateral fluoroscopic projection is preferred because it more clearly defines the desired needle pathway and maximally separates the mediastinal, ventricular and atrial arrhythmias. Expand
Echocardiographically guided pericardiocentesis: evolution and state-of-the-art technique.
Since its inception in 1979, the echocardiographically guided pericardiocentesis technique has continued to evolve and important procedural adaptations and modifications that optimize safety, simplicity, and patient comfort and minimize the recurrence of effusion have been defined and incorporated. Expand
Pericardial Anatomy for the Interventional Electrophysiologist
This review explores the anatomy of the pericardial space and the anatomic variants that may be encountered in this novel approach to the heart. Expand
Percutaneous intrapericardial injection of triamcinolone in a patient with incessant pericarditis: a novel technique.
Incessant pericarditis with multiple recurrences during tapering of systemic corticosteroids is presented, and intrapericardial triamcinolone is injected, using a technique originally developed to access the epicardium for catheter ablation, which resulted in immediate success, followed by long-term resolution of the patient's pericardiectomy. Expand
Correlative Anatomy for the Electrophysiologist, Part I: The Pericardial Space, Oblique Sinus, Transverse Sinus
The anatomy of the pericardial space is described and the specific correlation for the invasive electrophysiologist is discussed, highlighting epicardial access, catheter navigation, and avoidance of collateral injury with specific attention to the important recesses. Expand
Pericardioscopy and epi- and pericardial biopsy—a new window to the heart improving etiological diagnoses and permitting targeted intrapericardial therapy
A comprehensive approach to the diagnosis ofPericardial effusions in conjunction with pericardioscopy for targeted tissue sampling is the prerequisite for an etiologically based intrapericardials and systemic treatment, which improves outcome and prognosis. Expand
Initial clinical experience with perducer® device: Promising new tool in the diagnosis and treatment of pericardial disease
The development of a novel instrument for percutaneous access to the pericardium could potentially have a significant impact, not only on patients withpericardial diseases but even more, or primarily, on diagnosis and treatment of myocardial and coronary disease and arrhythmias. Expand
Intrapericardial triamcinolone for acute pericarditis after electrophysiologic procedures.
  • Carleton B Maxwell, M. Crouch
  • Medicine
  • American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
  • 2010
Intrapericardial administration of triamcinolone acetonide may be an effective treatment for patients with acute pericarditis after electrophysiologic procedures. Expand