Echocardiographic Contrast Studies During Pericardiocentesis

Brief Reports1 August 1977Echocardiographic Contrast Studies During PericardiocentesisP. A. N. CHANDRARATNA, M.D., M.R.C.P., F.A.C.P., J. FIRST, M.D., E. LANGEVIN, D.O., R. O'DELL, D.O.P. A. N. CHANDRARATNA, M.D., M.R.C.P., F.A.C.P., J. FIRST, M.D., E. LANGEVIN, D.O., R. O'DELL, D.O.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-87-2-199 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe role of echocardiography in the diagnosis of pericardial effusion has been firmly established (1-3). Electrocardiographic monitoring is routinely used during pericardiocentesis (4). The occurrence of ventricular extrasystoles and the appearance of ST segment elevation indicate contact of the exploring needle with the myocardium. Occasionally, electrocardiographic changes may not be evident when the exploring needle penetrates the myocardium. In such situations the differentiation between hemopericardium and aspiration of blood from a cardiac chamber is difficult. Our data from three patients indicate that echocardiographic contrast studies during pericardiocentesis are helpful in making such a differentiation.Echocardiography was done with the patient...References1. FEIGENBAUM H, WALDHAUSEN J, and HYDE L: Ultrasound diagnosis of pericardial effusion. JAMA 191:711-714, 1965 CrossrefMedlineGoogle Scholar2. FEIGENBAUM H, ZAKY A, and WALDHAUSEN J: Use of ultrasound in the diagnosis of pericardial effusion. Ann Intern Med 65:443-452, 1966 LinkGoogle Scholar3. FEIGENBAUM H: Echocardiographic diagnosis of pericardial effusion. Am J Cardiol 26:475-479, 1970 CrossrefMedlineGoogle Scholar4. BISHOP L, ESTES E, and MCINTOSH H: The electrocardiogram as a safeguard in pericardiocentesis. JAMA 162:264-265, 1956 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: P. A. N. CHANDRARATNA, M.D., M.R.C.P., F.A.C.P.; J. FIRST, M.D.; E. LANGEVIN, D.O.; R. O'DELL, D.O.Affiliations: The University of Oklahoma Health Sciences Center P.O. Box 26901 Oklahoma City, OK 73190 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPericardiocentesis, Paracentesis and ThoracentesisRole of Echocardiography in the Treatment of Cardiac TamponadeUse of Contrast Echocardiography to Detect Displacement of the Needle during PericardiocentesisEcho-Guided InterventionsA Critical Review of Patent Foramen Ovale Detection Using Saline Contrast Echocardiography: When Bubbles LieHerztamponadeâHands-Freeâ Continuous Transthoracic Monitoring of Pericardiocentesis Using a Novel Ultrasound TransducerPericardiocentesis Guided by Contrast EchocardiographyPericardiocentesis Guided by Two-Dimensional EchocardiographyContrast echocardiography as an adjunct in hemorrhagic or complicated pericardiocentesisPercutaneous transcatheter pericardial interventions: Aspiration, biopsy, and pericardioplastyPercutaneous pericardial biopsy under echocardiographic guidancePercutaneous ultrasound-guided management of pericardial fluidUse of venous contrast echocardiography for diagnosis of cardiac tamponadeTechnique of Pericardiocentesis and Intrapericardial DrainageCritical Cardiologic Considerations in the Cancer PatientPleural and pericardial effusions in cancer patientsRuptured sinus of Valsalva: Demonstration by contrast echocardiography during cardiac catheterizationTwo-dimensional echocardiographically guided pericardiocentesis: Experience in 117 consecutive patientsPericardial DiseasesTwo-Dimensional Echocardiography in Pericardial DiseaseEchocardiography in Pericardial DiseaseFunktion des Perikards für die Pumpleistung des Herzens unter physiologischen und pathologischen BedingungenUses and Limitations of Echocardiography in the Evaluation of Pericardial DiseaseApplication of 2-dimensional contrast studies during pericardiocentesisPericardiocentesis assisted by two-dimensional echocardiographyContrast EchocardiographyContrast Echocardiography of the Right and Left HeartContrast echocardiographyDetection of pericardial metastases by cross-section echocardiography. 1 August 1977Volume 87, Issue 2Page: 199-200KeywordsBloodEchocardiographyElectrocardiographyMyocardium ePublished: 1 December 2008 Issue Published: 1 August 1977 PDF downloadLoading ...