July 1, 2015Annals of The Royal College of Surgeons of EnglandOpen Access

Anterior parasternal approach for creation of a pericardial window

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Population

30 patients with symptomatic, chronic, large pericardial effusion, mean age 63 years, mean BMI 34 kg/m2.

Design

Cohort

Follow-up

median 3.8 years

Authors

EAEdward Altman OROlga Rutsky ASAlexander ShturmanBar-Ilan University

Discussion

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Implication

Anterior parasternal PW appears safe and effective retrospectively; leaves open need for prospective trials versus standard techniques.

Structured PICO

Population

30 patients (14 men, 16 women) with symptomatic, chronic, large pericardial effusion, mean age 63 years, mean BMI 34 kg/m2.

Intervention

Pericardial window creation via an anterior parasternal approach (curvilinear parasternal approach, 6-8 cm in length, followed by a mini-thoracotomy between ribs 4 and 5).

Outcome

Efficacy and safety (operative time, fluid evacuated, complications, recurrence of pericardial effusion)

The anterior parasternal approach for creating a pericardial window is a safe and effective technique that provides long-term symptomatic relief, particularly in obese patients with non-malignant effusions.

Cite This Study

Altman et al. (2015) studied this question.

synapsesocial.com/papers/6a7645ca9af63782f5bcb84f https://doi.org/10.1308/003588415x14181254789925

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Anterior parasternal approach for creation of a pericardial window

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Anterior parasternal approach for creation of a pericardial window

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider