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Percutaneous balloon pericardiotomy: efficacy in a series of malignant and nonmalignant cases.
Sigusch, Holger H; Geisler, Wolff; Surber, Ralf; Schönweiß, Marc; Gerth, Jens.
Affiliation
  • Sigusch HH; Department of Internal Medicine, Division of Cardiology, Heinrich-Braun-Klinikum, Zwickau, Germany.
  • Geisler W; Department of Internal Medicine, Division of Cardiology, Heinrich-Braun-Klinikum, Zwickau, Germany.
  • Surber R; Department of Internal Medicine, Division of Cardiology, Jena University Hospital, Friedrich-Schiller-University of Jena, Jena, Germany.
  • Schönweiß M; Department of Internal Medicine, Division of Cardiology, Heinrich-Braun-Klinikum, Zwickau, Germany.
  • Gerth J; Department of Internal Medicine, Division of Nephrology, Heinrich-Braun-Klinikum, Zwickau, Germany.
Scand Cardiovasc J ; 56(1): 331-336, 2022 12.
Article in En | MEDLINE | ID: mdl-35982636
OBJECTIVE: In the case of malignant pericardial effusion and cardiac tamponade, balloon pericardiotomy is an established minimally invasive option to the surgical creation of a subxiphoid pericardial window. Percutaneous balloon pericardiotomy effectively drains recurrent pericardial fluid by creating a pleuro (-abdominal-) pericardial communication. Design. A series of 26 patients with underlying malignant (n = 12) and nonmalignant (n = 14) diseases underwent percutaneous balloon pericardiotomy between 2008 and 2021. All interventions were done through a subxiphoid access under local anesthesia. Results. The mean survival in the malignant and nonmalignant groups was 1.2 versus 48.0 months, respectively (p < .001). There were neither severe periinterventional complications nor in-hospital deaths. In two patients with nonmalignant disease the surgical creation of a pericardial window was necessary during follow-up. The originally described procedure was modified by the removal of all catheters at the end of the intervention. The procedure was safe. It prevented immobility and facilitated an early discharge from the hospital. Conclusion. Our experiences show that percutaneous balloon pericardiotomy is a minimally invasive approach to successfully provide palliation in the group of patients with underlying malignant disease. On the other hand, we have shown that this technique is safe and feasible in the treatment of pericardial effusion based on nonmalignant disease. We think thereby that pericardial balloon pericardiotomy can be considered as a less invasive alternative to surgery in both groups of patients.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pericardial Effusion / Pericardiectomy / Cardiac Tamponade Limits: Humans Language: En Journal: Scand Cardiovasc J Journal subject: ANGIOLOGIA / CARDIOLOGIA Year: 2022 Document type: Article Affiliation country: Germany Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pericardial Effusion / Pericardiectomy / Cardiac Tamponade Limits: Humans Language: En Journal: Scand Cardiovasc J Journal subject: ANGIOLOGIA / CARDIOLOGIA Year: 2022 Document type: Article Affiliation country: Germany Country of publication: United kingdom