Outcomes of Primary and Secondary Treatment of Pericardial Effusion in Patients With Malignancy

Tsang, Teresa S.M.; Seward, James B.; Barnes, Marion E.; Bailey, Kent R.; Sinak, Lawrence J.; Urban, Lynn H.; Hayes, Sharonne N.

doi:10.1016/s0025-6196(11)65028-3

Cited by 108 publications

(22 citation statements)

References 18 publications

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“…In people, extended pericardial catheter drainage is associated with a reduction in the recurrence of idiopathic and postoperative effusions by 44–71% . They are associated with a lack of malignant PE recurrence as well . The mechanism of this is postulated to be in fenestration of the pericardium by persistence of the catheter.…”

Section: Discussionmentioning

confidence: 99%

Retrospective evaluation of pericardial catheter placement in the management of pericardial effusion in dogs (2007–2015):18 cases

Cook

Cortellini

Humm

2019

J Vet Emergen Crit Care

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Objective To describe the use of pericardial catheters in dogs with pericardial effusion (PE), and detail any associated adverse events. Design Retrospective study. Setting University teaching hospital. Animals Eighteen client‐owned dogs that had pericardial catheters placed for pericardial fluid drainage between May 2007 and January 2015. Interventions None. Measurements and main results All pericardial catheters were placed within 5 hours of presentation, usually within 1 hour (median 72.5 min, range 45–300 min). Ten of 18 cases were sedated with butorphanol, and 4 with additional midazolam. Four had pericardial catheters positioned for single drainage only and were immediately removed. The other 14 pericardial catheters remained in situ for a median of 18 hours (range 2–88 h). Ten of the remaining 14 cases were redrained after pericardial catheter placement. The main adverse events reported were new arrhythmias in 6/18 cases, with 4 of these 6 patients being administered anti‐arrhythmic therapy. No infectious or functional complications were reported. Ten patients were discharged, 1 died and 7 were euthanized. Conclusions Thoracic drainage catheters inserted into the pericardial space via a modified‐Seldinger technique can be positioned in dogs to aid management of PEs. The main associated adverse event is arrhythmia. Minimal sedation is required for placement, and dogs tend not to require postprocedural analgesia. Catheters can remain in situ for repeated drainage, potentially decreasing staffing time requirement and repeat sedation. Their use is associated with a rate of arrhythmia requiring treatment of 22%, compared to that of needle pericardiocentesis alone at 13%. They are easy to position using equipment available in many facilities.

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Section: Discussionmentioning

confidence: 99%

Retrospective evaluation of pericardial catheter placement in the management of pericardial effusion in dogs (2007–2015):18 cases

Cook

Cortellini

Humm

2019

J Vet Emergen Crit Care

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“…In a large series from our institution, which consisted of 500 consecutive cases, 5 (1.5%) cases had major complications including pneumothoraces (n = 3), RV erosion secondary to a frayed sheath (n = 1), and infection (n = 1) with no reported mortality. Minor complications including uncomplicated ventricular puncture and catheter occlusion occurred in 12 (3.5%) patients 1 . Similarly, other large studies have demonstrated the safety of percutaneous pericardiocentesis with no reported mortality 2–4 …”

Section: Discussionmentioning

confidence: 84%

“…Among 275 patients with malignancy and pericardial effusion followed between 1979 and 1998 at our institution, the primary malignancy was lung (38%), followed by breast (23%), and hematologic cancer (18%). The remaining cases (21%) were due to adenocarcinoma of varying primary sites 1 …”

Section: Discussionmentioning

confidence: 99%

“…The remaining cases (21%) were due to adenocarcinoma of varying primary sites. 1 Echocardiography-guided pericardiocentesis has been established as the preferred method for fluid removal. In a large series from our institution, which consisted of 500 consecutive cases, 5 (1.5%) cases had major complications including pneumothoraces (n = 3), RV erosion secondary to a frayed sheath (n = 1), and infection (n = 1) with no reported mortality.…”

Section: Discussionmentioning

confidence: 99%

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Fatal Migratory Pulmonary Thromboembolism Following Successful Pericardiocentesis

et al. 2010

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“…Percutaneous balloon percardiotomy (PBP) has been used for treatment of recurrent pericardial effusion. Small, single‐center retrospective studies have shown that pericardiocentesis in patients with malignant pericardial effusion have recurrence rates up to 90% . These earlier studies were used to establish pericardiotomy as the definitive treatment.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Safety and Feasibility of Percutaneous Balloon Pericardiotomy in Hemodynamically Significant Pericardial Effusion (Review of 10‐Years Experience in Single Center)

Bhardwaj

Gharib

et al. 2015

J Interven Cardiology

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Outcomes of Primary and Secondary Treatment of Pericardial Effusion in Patients With Malignancy

Cited by 108 publications

References 18 publications

Retrospective evaluation of pericardial catheter placement in the management of pericardial effusion in dogs (2007–2015):18 cases

Retrospective evaluation of pericardial catheter placement in the management of pericardial effusion in dogs (2007–2015):18 cases

Fatal Migratory Pulmonary Thromboembolism Following Successful Pericardiocentesis

Evaluation of Safety and Feasibility of Percutaneous Balloon Pericardiotomy in Hemodynamically Significant Pericardial Effusion (Review of 10‐Years Experience in Single Center)

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