The epicardial fat pad sign: analysis of frontal and lateral chest radiographs in patients with pericardial effusion.

Carsky, Edward W.; Mauceri, R; Azimi, Farhad

doi:10.1148/radiology.137.2.7433659

Cited by 32 publications

(4 citation statements)

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“…Chest radiography may be helpful in some settings (6,7). Typically, large effusions present as globular cardiology with sharp margins, sometimes referred to as a "water bottle" silhouette.…”

Section: Recognition Of Pe and Tamponadementioning

confidence: 99%

Iatrogenic Pericardial Effusion and Tamponade in the Percutaneous Intracardiac Intervention Era

Holmes

Nishimura

Fountain

et al. 2009

JACC: Cardiovascular Interventions

125

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The number, specific type, and complexity of percutaneous intracardiac procedures continue to evolve. Many of these procedures require left atrial access using transseptal techniques. These approaches carry with them the potential for pericardial effusion (PE) and cardiac tamponade, particularly in the setting when intraprocedural anticoagulation is being administered. PEs and even cardiac tamponade have been documented with both diagnostic as well as therapeutic procedures. When the effusion is a complication of an intracardiac procedure, it is usually the result of a cardiac perforation. The presentation depends on several factors including the structure that is perforated, the device that caused the perforation, the baseline hemodynamic status of the patient, and the level of anticoagulation present. The incidence has varied substantially although it has been recorded with essentially all intracardiac procedures, both diagnostic and therapeutic on both the right and left side of the heart. Prompt recognition is essential so that prevention of the transition from effusion to tamponade can be attempted (e.g., by reversing anticoagulation) or the hemodynamic collapse can either be averted or treated. Clinical, radiologic, and echocardiographic assessment are each important. Pericardiocentesis can be life-saving and is a core competency for all laboratories performing invasive cardiac procedures. Systems of care must include the knowledge base, equipment, and expert echocardiographic and interventional personnel. Collaboration with noninvasive colleagues and training interventionalists who perform intracardiac interventions, both electrophysiologists and interventional cardiologists, should be required as part of every invasive program.

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Section: Recognition Of Pe and Tamponadementioning

confidence: 99%

Iatrogenic Pericardial Effusion and Tamponade in the Percutaneous Intracardiac Intervention Era

Holmes

Nishimura

Fountain

et al. 2009

JACC: Cardiovascular Interventions

125

View full text Add to dashboard Cite

show abstract

“…About other detection methods for cardiac tamponade by simple and common methods, cardiac silhouette evaluation by chest radiography has been reported as another low cost method for early stage detection [8,9]. According to these reports, if there is a large volume of accumulated pericardial effusion, the cardiac silhouette will show a distortion in a shape similar to a water bottle, and a distinctive image called an epicardial halo sign or fat pad sign will show up [8,9]. In our experiences with chest radiography, the pulsations of the cardiac silhouette get smaller called "locking heart" in cases of acute cardiac tamponade.…”

Section: Resultsmentioning

confidence: 99%

Continuous Cardiac Stroke Volume Monitoring Leads to Early Detection of Cardiac Tamponade in the Percutaneous intracardiac Intervention

Murasawa¹,

Fujiu

Yokota³

et al. 2013

J Hypertens

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“…18 On well-penetrated lateral radiographs or cine films, pericardial fluid is suggested by lucent lines within the cardiopericardial shadow (epicardial halo). [18][19][20] This sign is useful for the fluoroscopic guidance of pericardiocentesis. 21 The CT, spin-echo, and cine magnetic resonance imaging (MRI) scans also can be used to assess the size and extent of simple and complex pericardial effusions.…”

Section: Discussionmentioning

confidence: 99%

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2015

Exp Clin Transplant

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We report a case of slow graft function in a renal transplant recipient caused by uremic acute pericardial effusion with tamponade. Urgent pericardiocentesis was done with an improvement in blood pressure, immediate diuresis, and quick recovery of renal function back to baseline. Pericardial tamponade should be included in consideration of causes of type 1 cardiorenal syndrome in renal transplant recipients.

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The epicardial fat pad sign: analysis of frontal and lateral chest radiographs in patients with pericardial effusion.

Cited by 32 publications

References 0 publications

Iatrogenic Pericardial Effusion and Tamponade in the Percutaneous Intracardiac Intervention Era

Iatrogenic Pericardial Effusion and Tamponade in the Percutaneous Intracardiac Intervention Era

Continuous Cardiac Stroke Volume Monitoring Leads to Early Detection of Cardiac Tamponade in the Percutaneous intracardiac Intervention

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