Why the study?
Surgical drainage is recommended for refractory pericardial effusion or tamponade, and the authors aimed to report outcomes of pericardial-peritoneal window creation via a subxiphoid approach under local anesthesia.
Does pericardial-peritoneal window via a subxiphoid approach under local anesthesia prevent re-accumulation in patients with refractory pericardial effusion?
Does pericardial-peritoneal window via a subxiphoid approach under local anesthesia prevent re-accumulation in patients with refractory pericardial effusion?
A subxiphoid approach for pericardial-peritoneal window under local anesthesia appears safe and effective for preventing recurrence of refractory pericardial effusion.
Small case series supports feasibility of subxiphoid pericardial-peritoneal window under local anesthesia; leaves open efficacy for refractory effusion.
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Sugimoto et al. (2023) studied this question.
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