Article Sidebar
Views PDF: 55
Evaluation of results of pericardial drainage by ultrasound-guided fine-needle aspiration in patients with pericardial effusion after cardiac surgery at hanoi heart hospital
Main Article Content
Abstract
Background: Pericardial effusion is a relatively common complication after cardiac surgery, in which a large proportion of cardiac tamponade causes hemodynamic disturbances, and can have serious consequences.
Objective: "Evaluation of the efficacy and safety of pericardial drainage with ultrasound-guided fine-needle aspiration".
Method: Cross-sectional, retrospective. Accept all patients with pericardial effusion after cardiac surgery were recruited at the Emergency Department and the Intensive Care Unit who performed pericardial aspiration from May 2021 to October 2022.
Results: There were 46 patients included in the study; the average age is 52.04 ± 12.46 years, the youngest is 26 years, the oldest is 81 years old; The group of patients with heart valve disease had the highest rate of pericardial effusion, accounting for 93.4%; patients with atrial septal defect have recurrent pericardial effusion after surgery; there is a higher rate of recurrence and need for surgical conversion with the use of a sheet + pigtail device compared with a catheter; 36 (78.3%) patients did not have recurrent effusion and 10 (21.7%) patients had relapse; 100% of patients are alive after pericardial drainage.
Conclusion: The results of treatment of pericardial effusion with fine needle aspiration pericardial drainage under the guidance of ultrasound after cardiac surgery are positive, the use of the catheter is initially shown to be safer than the use of sheat + pigtail.
Article Details
Keywords
pericardial drainage, fine needle aspiration, pericardial drainage surgery, cardiac surgery, cardiac tamponade
References
2. Becit N., Unlu Y., Ceviz M., et al. (2005), "Subxiphoid pericardiostomy in the management of pericardial effusions: case series analysis of 368 patients", Heart, 91(6), pp. 785-90.
3. Ashikhmina E. A., Schaff H. V., Sinak L. J., et al. (2010), "Pericardial effusion after cardiac surgery: risk factors, patient profiles, and contemporary management", Ann Thorac Surg, 89(1), pp. 112-118.
4. N.T.D.Hưng(2016), “Nghiên cứu một số yếu tố nguy cơ và điều trị tràn dịch màng ngoài tim sau phẫu thuật tim mở”. Luận văn bác sĩ nội trú. Học viện Quân Y.
5. Lê Quang Thứu (2012), "Hội chứng Tràn dịch màng ngoài tim sau mở màng tim", Tạp chí Y Dược học - Trường đại học Y Dược Huế, 12, tr. 66-71.
6. Eryilmaz S., Emiroglu O., Eyileten Z., et al. (2006), "Effect of posterior pericardial drainage on the incidence of pericardial effusion after ascending aortic surgery", J Thorac Cardiovasc Surg, 132(1), pp. 27-31.
7. King TE, Stelzner TJ, Sahn SA.(1983) “Cardiac tamponade complicating the postpericardiotomy syndrome”. Chest1983;84:500–503.
8. Ofori-Krakye S, Tybert TI, Geha AS, Hammond GL, Cohen LS, Langou RA.(1981) “Late cardiac tamponade after open heart surgery: incidence, role of anticoagulants in its pathogenesis and its relationship to the postpericardiotomy syndrome”. Circulation1981;63:1323–1328
9. Beco G, Mambour N, V^o C, Vanhoutte L, Moniotte S, Poncelet A, et al.(2018), “Recent experience and follow-up after surgical closure of secundum atrial septal defect in 120 children”. Pediatr Cardiol. 2018;39:1440-4.
10. Heching HJ, Bacha EA, Liberman L.(2015), “Post pericardiotomy syndrome in pediatric patients following surgical closure of secundum atrial septal defects: incidence and risk factors”.Pediatr Cardiol. 2015;36:498-50
11. Elias MD, Glatz AC, O’Connor MJ, Schachtner S, Ravishankar C, Mascio CE, et al.(2017) “Prevalence and risk factors for pericardial effusions requiring readmission after pediatric cardiac surgery”. Pediatr Cardiol. 2017;38:484-94
12. Jones DA, Radford DJ, Pohlner PG.(2001), “Outcome following surgical closure of secundum atrial septal defect”.J Paediatr Child Health. 2001;37:274-7