Key result
Percutaneous balloon pericardiotomy achieves ~90% success in children with nonmalignant pericardial effusions.
Why the study?
The safety and efficacy of percutaneous balloon pericardiotomy for creating a pericardial window in children with recurrent, symptomatic, nonmalignant pericardial effusion needed evaluation.
Does percutaneous balloon pericardiotomy safely and effectively treat recurrent, symptomatic, nonmalignant pericardial effusion in children?
Comparison
Percutaneous balloon pericardiotomy as alternative to surgical window creation
Design
Observational case series using subxiphoid approach
Follow-up
Mean 14.6 months
Authors
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Suggests percutaneous balloon pericardiotomy may be feasible for recurrent pediatric effusions; hypothesis-generating and requires prospective validation.
Observational (n=10)
Does percutaneous balloon pericardiotomy safely and effectively treat recurrent, symptomatic, nonmalignant pericardial effusion in children?
Percutaneous balloon pericardiotomy appears to be a safe and effective alternative to surgical window creation for managing nonmalignant pericardial effusions in children.
Thanopoulos et al. (1997) conducted an observational in recurrent, symptomatic, nonmalignant pericardial effusion (n=10). Percutaneous balloon pericardiotomy was evaluated on procedural success. Percutaneous balloon pericardiotomy was successful in 90% (9 of 10) of children with nonmalignant pericardial effusions, with fluid reaccumulation occurring in only 1 patient over 14.6 months.
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