Disease relevance of Pericardiocentesis

• Hemodynamic effect of dextran, dobutamine, and pericardiocentesis in cardiac tamponade secondary to subacute heart rupture [1].
• The frequent occurrence of adhesive and obliterative pericarditis with loculated effusions suggests the need for pericardiectomy rather than pericardiocentesis in the patient with rheumatoid arthritis and symptomatic pericardial involvement [2].
• We treated 19 women with malignant cardiac tamponade due to advanced breast cancer with subxiphoid pericardiocentesis and local thiotepa instillation [3].
• Complete resolution of the pericardial effusion occurred 10 months followint initial pericardiocentesis and L-thyroxine therapy [4].
• Tamponade was relieved by pericardiocentesis, and countercurrent immunoelectrophoresis (CIE) analysis of the fluid was positive for meningococcus group B. Antibiotic treatment was changed to penicillin G [5].

High impact information on Pericardiocentesis

• An accurate TMFP presumably should increase during pericardiocentesis and correlate with left ventricular stroke work [6].
• The remaining 19 patients, 10 with EMD, had early recovery with dobutamine and colloid solution, and 15 required pericardiocentesis [7].
• Pericardiocentesis was followed by a one-time instillation of triamcinolone hexacetonide, a nonabsorbable corticosteroid, into the pericardial space with subsequent needle withdrawal [8].
• Atrial natriuretic peptide release responds to atrial stretch and not to atrial pressure: observations during pericardiocentesis in a young woman [9].
• This adverse effect, not previously reported, was successfully treated by performing pericardiocentesis followed by the administration of dexamethasone [10].

Chemical compound and disease context of Pericardiocentesis

• Short-term, indwelling, percutaneous pericardiocentesis for drainage with local steroid instillation has been advocated for refractive uremic pericarditis [11].
• In despite of numerous pericardiocentesis, institution of medium-chain triglyceride diet and corticosteroid therapy, chylous pericardial effusion persisted [12].
• Streptococcus milleri, a rare cause of pericarditis; successful treatment by pericardiocentesis combined with parenteral antibiotics [13].
• In the second postoperative week, while being treated with monoclonal antibodies (OKT3), cyclosporine and azathioprine, he developed a postpericardiotomy syndrome and cardiac tamponade, which necessitated emergency pericardiocentesis [14].

Biological context of Pericardiocentesis

• Compared with experiments without indomethacin, sodium excretion did not increase flowing pericardiocentesis in animals treated with indomethacin despite similar changes in arterial pressure, venous pressure, hematocrit, plasma protein concentration, and renin activity [15].

Associations of Pericardiocentesis with chemical compounds

• Treatment with indomethacin rapidly reduced the hemodynamic compromise, avoiding the need for pericardiocentesis [16].
• In the 176 with effusion and no drainage, adverse outcomes occurred in 17/88 (19%) prednisolone vs. 35/88 (40%) placebo patients (p = 0.003), with repeat pericardiocentesis 20 (23%) placebo vs. 9 (10%) prednisolone (p = 0.025) [17].
• After pericardiocentesis and insertion of a polyurethane catheter, pericardial fluid was drained [18].
• They were all treated with ultrasound-guided pericardiocentesis followed by instillation of mitoxantrone (10 mg) [19].
• Five patients with pericardial tamponade of neoplastic origin were treated by pericardiocentesis, drainage and local instillation of bleomycin [20].

Gene context of Pericardiocentesis

• Cardiac tamponade following treatment with tissue plasminogen activator: an atypical hemodynamic response to pericardiocentesis [21].
• Pericardiocentesis ending in the superior vena cava [22].
• Activity of renin and concentrations of aldosterone in the plasma were increased during tamponade and returned gradually to normal after pericardiocentesis (3.8 +/- 0.9 to 1.2 +/- 0.3 ng/ml/h and 20 +/- 4.2 to 9 +/- 3.2 ng/dl, respectively; P less than 0.01) [23].
• Methods: Timely diagnosis was made by echocardiography, and an urgent pericardiocentesis revealed TPN fluid [24].
• A congenital anterior diaphragmatic hernia with massive pericardial effusion requiring neither emergency pericardiocentesis nor operation. A case report and review of the literature [25].

Analytical, diagnostic and therapeutic context of Pericardiocentesis

• Treatment included an immediate pericardiocentesis followed by thyroxine hormone replacement therapy [26].
• In our opinion pericardiocentesis associated to intrapericardial sclerotherapy with thiotepa is the best compromise in terms of recurrence prevention, tolerability and costs [27].
• In the first patient, blood urea nitrogen and serum creatinine decreased from 82 mg/dL and 7.6 mg/dL to 71 mg/dL and 4.6 mg/dL in the next 48 hours, then to 23 mg/dL and 1.3 mg/dL 5 days after the pericardiocentesis [28].

References