Why the study?
Does subxiphoid pericardial window formation improve survival and reduce morbidity compared to pericardiectomy or anterior thoracotomy in patients with malignancy and symptomatic pericardial effusion?
Population
28 consecutive patients with malignancy and symptomatic pericardial effusion
Comparison
Subxiphoid pericardial window formation vs Partial or total pericardiectomy or pericardial…
Design
Cohort
Authors
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Subxiphoid window was associated with lower morbidity and comparable survival in malignancy-related effusion; hypothesis-generating, randomized trials needed before practice change.
Does subxiphoid pericardial window formation improve survival and reduce morbidity compared to pericardiectomy or anterior thoracotomy in patients with malignancy and symptomatic pericardial effusion?
Subxiphoid pericardial window formation is recommended for palliation of symptomatic pericardial effusion in malignancy due to lower postoperative morbidity and comparable survival to more extensive procedures.
Park et al. (1991) studied this question.
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