Key result
Fluoroscopic pericardiocentesis outcomes cannot be extracted because the provided text contains only publisher information.
Why the study?
Pericardiocentesis is a life-saving intervention for cardiac tamponade, but the safety, efficacy, and short-term outcomes of fluoroscopy-guided pericardiocentesis performed by cardiovascular surgeons in a hybrid operating room setting needed evaluation.
Does fluoroscopy-guided pericardiocentesis performed by cardiac surgeons in a hybrid operating room safely and effectively treat symptomatic pericardial effusion?
Does fluoroscopy-guided pericardiocentesis performed by cardiac surgeons in a hybrid operating room safely and effectively treat symptomatic pericardial effusion?
Fluoroscopy-guided pericardiocentesis performed by cardiac surgeons in a hybrid operating room is a safe and effective approach for managing symptomatic pericardial effusion, yielding low complication and recurrence rates.
May warrant consideration by surgeons in hybrid OR for symptomatic effusion; extends low-certainty evidence from 4 studies but requires RCTs before adoption.
Background: Pericardiocentesis is a life-saving intervention in the treatment of cardiac tamponade. This study aims to evaluate the safety, efficacy, and short-term outcomes of fluoroscopy-guided pericardiocentesis performed by cardiovascular surgeons in a hybrid operating room setting. Methods: Data from 64 patients who underwent fluoroscopy-guided percutaneous drainage for symptomatic pericardial effusion in a hybrid operating room between January 2020 and December 2024 were analyzed retrospectively. Procedures were performed using a standard subxiphoid approach and a pigtail catheter. Results: The etiology was malignancy in 31.2% (n=20) of the patients. the median maximum effusion diameter measured on preoperative echocardiography was 24 mm (IQR: 20–28 mm), which decreased significantly to 7 mm (IQR: 5–9 mm) on postoperative evaluation (p < 0.001). The minor complication rate was 1.5% (n=1, pneumothorax). No surgical conversion (sternotomy) was required during the procedures. Re-intervention was required in only 2 patients (3.1%) during the three-month follow-up. Conclusion: Fluoroscopy-guided pericardiocentesis performed under hybrid operating room conditions represents a safe option with low complication and recurrence rates, even in high-risk groups such as malignancy. The real-time anatomical visualization provided by fluoroscopy, combined with the surgical infrastructure of the hybrid environment, provides a feasible workflow for cardiac surgeons. However, these findings need to be supported by more extensive and comparative studies.
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Karaağaç et al. (2026) studied this question. Fluoroscopic Pericardiocentesis was evaluated. Fluoroscopic pericardiocentesis outcomes could not be extracted because the provided text consists entirely of the journal's editorial board and publisher information.
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