Minimally invasive transxiphoid approach for management of pediatric cardiac tamponade - one center's experience.

Haponiuk, Ireneusz; Kwaśniak, Ewelina; Chojnicki, Maciej; Jaworski, Radosław; Steffens, Mariusz; Sendrowska, Aneta; Gierat-Haponiuk, Katarzyna; Leszczyńska, Katarzyna; Paczkowski, Konrad; Zieliński, Jacek

doi:10.5114/wiitm.2014.47690

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Complications from pericardial drains are fortunately rare. Haponiuk and colleagues[ 3 ] published a retrospective analysis of a single-center experience of 15 patients, ages 2 weeks to 18 years, with no reported complications. These drains were placed by a minimally invasive transxiphoid approach after echo-confirmed diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Cardiovascular collapse with attempted pericardial drain withdrawal

2016

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Cardiac tamponade is a rare but serious emergency condition in the pediatric population. As treatment, a pericardial drain is often placed to evacuate the fluid. We present a case of a 4-year-old girl with cardiac tamponade secondary to renal failure. After the tamponade resolved, she suffered cardiovascular collapse upon attempted drain withdrawal. This case highlights an unusual cause for cardiovascular collapse, which occurred on blind removal of a pericardial drain.

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Section: Discussionmentioning

confidence: 99%

“…These drains were placed by a minimally invasive transxiphoid approach after echo-confirmed diagnosis. [ 3 ] The incidence of major complications related to pericardial drains placed in an experienced center is estimated between 1.2% and 1.6%. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular collapse with attempted pericardial drain withdrawal

2016

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“…After the intervention, he showed the resolution of CT and improvement in ventricular contractility. Despite his favorable outcome, it is important to acknowledge the potential challenges and complications that may arise during the management of CT, particularly in children (24).…”

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confidence: 99%

Cardiac tamponade with chylopericardium in a 6-year-old boy with central venous catheter: a case report

Lee,

Lee

et al. 2024

Pediatr Emerg Med J

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Cardiac tamponade (CT) is a rare but potentially lethal complication associated with central venous catheters (CVCs). We present a 6-year-old boy who developed CT after CVC insertion in the right internal jugular vein, with its tip in the inferior vena cava. Initially, he was hospitalized to a tertiary hospital with presumptive diagnoses of pneumonia and left ankle cellulitis. Three days after CVC placement, he developed CT, manifesting as recurrent episodes of hypotension and bradycardia. Once a bedside echocardiography showed CT, pericardiocentesis was performed, resulting in successful resuscitation. Pericardiocentesis revealed a milk-appearing pericardial fluid, indicating chylopericardium. The boy also underwent debridement and joint irrigation of the left ankle, which turned out to be osteomyelitis. Although CVC tips in most reported CVC-related CTs have been commonly located in the right atrium, our case featured a tip located in the inferior vena cava. Additionally, chylopericardium was likely due to the extravasation of total parenteral nutrition fluid, rather than the usual causes, such as recent thoracic surgery. Understanding the mechanisms behind chylopericardium associated with CVCs and timely pericardiocentesis is crucial for improving the outcomes.

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Role of the Pericardioscopy in the Treatment of Pericardial Effusion

Pisklova

2018

EUREKA: Health Sciences

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In recent years surgical treatment of pericardial effusion has been favoured by mini-invasive interventions. Pericardioscopy supplements it. In the literature actively discusses its expediency, efficiency and informativeness.Aim of the study. Analyze our experience of using pericardioscopy during surgical treatment of pericardial effusion using mini-invasive interventions.Materials and methods. From 2000 to 2017, 92 patients with pericardial effusion were operated in our clinic using mini-invasive interventions. Pericardioscopy was used in 72 (78.26 %) cases. In 32 (44.44 %) pericardioscopy was performed with subxiphoid pericardiotomy, in 40 (55.56 %) -with thoracoscopy on the right or left side.Results and discussion. The use of pericardioscopy has allowed to significantly reduce the number of idiopathic pericarditis from 20.0 % to 5.56 % and increase the informativeness of the minimally invasive interventions by 14.44 % (χ 2 =4.11, with ν=1, α=5 %). There is no reliable difference in the number of relapses of the disease.Conclusions. The use of pericardioscopy during mini-invasive interventions is safe and effective. The method of choice in most cases is subxiphoid non-pleural pericardiotomy with pericardioscopy.

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Minimally invasive transxiphoid approach for management of pediatric cardiac tamponade - one center's experience.

Cited by 3 publications

References 15 publications

Cardiovascular collapse with attempted pericardial drain withdrawal

Cardiovascular collapse with attempted pericardial drain withdrawal

Cardiac tamponade with chylopericardium in a 6-year-old boy with central venous catheter: a case report

Role of the Pericardioscopy in the Treatment of Pericardial Effusion

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