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Editorial
. 2022 Dec 12:5:101699.
doi: 10.1016/j.jaccas.2022.101699. eCollection 2023 Jan 4.

Removing the Blindfold: Echo-Guidance for Pericardiocentesis

Garvan C Kane  1 , Sushil A Luis  1
Affiliations
Editorial

Removing the Blindfold: Echo-Guidance for Pericardiocentesis

Garvan C Kane et al. JACC Case Rep. .
No abstract available

Keywords: perforation; pericardial effusion; tamponade.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Locations for Echo-Guided Pericardiocentesis Access A representative computed tomographic scan of a patient highlights possible access locations and their proximity to anatomical landmarks and surrounding structures. Access to pericardial space anterior to the right atrium from the left parasternal approach (A) or anterior or lateral to the right ventricle from the left parasternal area (B). Care is taken to avoid the internal thoracic vessels that course down the anterior chest between 6- and 20-mm lateral to either side of the sternal edge. Access from the left chest allows pericardial access in proximity to the left ventricular apex or free wall (C). A subcostal site allows access to the inferior pericardium and is in proximity to the distal thoracic vessels and the left lobe of the liver (D).
Figure 2
Figure 2
Frequency of Access Locations for Echo-Guided Pericardiocentesis In review of the last 1,000 pericardiocentesis procedures performed at the Mayo Clinic Rochester, most patients had access from the left chest in proximity to the left ventricular apex or free wall. The remainder were approached anterior to the right atrium from the left parasternal approach or anterior or lateral to the right ventricle from the left parasternal area. Only 8% had drainage from a subcostal access site.
See this image and copyright information in PMC

Comment on

References

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