Key result
Subxiphoid pericardiotomy shows no intraoperative deaths and ~16% hospital mortality attributable to underlying disease.
Why the study?
The safety and effectiveness of subxiphoid pericardial decompression for managing pericardial effusion, especially in malignant conditions, was evaluated.
Does pericardiotomy via the subxiphoid route provide safe and effective management in patients with pericardial disorders?
Population
19 patients with pericardial disorders (7 benign, 12 malignant)
Comparison
Partial pericardial resection vs pericardial tube drainage or pacemaker electrode insertion
Design
Observational case series
Follow-up
Hospital stay
Authors
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Supports feasibility of subxiphoid pericardiotomy with low procedural mortality; hypothesis-generating and should not yet change practice.
Observational (n=19)
Does pericardiotomy via the subxiphoid route provide safe and effective management in patients with pericardial disorders?
Subxiphoid pericardial decompression is a safe and effective procedure for managing pericardial effusion, offering excellent palliation especially in malignant conditions.
Konttinen et al. (1988) conducted an observational in Pericardial effusion (n=19). Subxiphoid pericardiotomy was evaluated on Hospital mortality. Subxiphoid pericardiotomy in 19 patients resulted in no intraoperative deaths and a 16% hospital mortality rate attributable to underlying disease.
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