ArticleHeart (British Cardiac Society)2005
Subxiphoid pericardiostomy in the management of pericardial effusions: case series analysis of 368 patients.
Article in Heart (British Cardiac Society), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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Who cites it
18 citing papers in PubMed, 60 citations in OpenAlex.
- Article
- Safety and feasibility of laparoscopic pericardioperitoneal window.Open heart · 2026Article
- Epidemiological characteristics, etiological spectrum, and outcomes of adult patients with pericardial effusion at a Teaching Hospital in Somalia.Therapeutic advances in chronic disease · 2024Article
- Culture-negative group B streptococcal pericarditis: A case report and literature review of the diagnostic use of polymerase chain reaction.Clinical case reports · 2019Article
- Anterior parasternal approach for creation of a pericardial window.Annals of the Royal College of Surgeons of England · 2015Article
- Minimally invasive transxiphoid approach for management of pediatric cardiac tamponade - one center's experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015Article
- SLE or hypothyroidism: who can triumph in cardiac tamponade?BMJ case reports · 2015Article
- Prognostic factors affecting survival of patients with cancer-related pericardial effusion managed by surgery.World journal of surgical oncology · 2014Article
- Long and wrong way: Unintended pericardial catheter insertion through stomach.Journal of cardiology cases · 2014Article
- Pulmonary hypertension complicated by pericardial effusion: a single center experience.Therapeutic advances in respiratory disease · 2013Article
- Surgery for pericardial disease.Heart failure reviews · 2013Review
- Comparison of surgical pericardial drainage with percutaneous catheter drainage for pericardial effusion.The Journal of invasive cardiology · 2012Article
- Blind subxiphoid pericardiotomy to relieve critical acute hemopericardium: a final report.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2012Article
- Surgical properties and survival of a pericardial window via left minithoracotomy for benign and malignant pericardial tamponade in cancer patients.World journal of surgical oncology · 2012Article
- Survival post surgery for malignant pericardial effusion.Clinics and practice · 2011Article
- Management of Cardiac Tamponade: A Comperative Study between Echo-Guided Pericardiocentesis and Surgery-A Report of 100 Patients.Cardiology research and practice · 2011Article
- Neoplastic pericardial disease: Old and current strategies for diagnosis and management.World journal of cardiology · 2010Article
- Pericardiocentesis with cisplatin for malignant pericardial effusion and tamponade.World journal of gastroenterology · 2010Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effectiveness of subxiphoid pericardiostomy in the treatment and diagnosis of pericardial effusions.
methods368 patients who underwent subxiphoid pericardiostomy and tube drainage for cardiac tamponade, moderate to severe pericardial effusion, or suspicious bacterial aetiology were retrospectively analysed. Biopsies of the pericardium and fluid samples for diagnostic tests were obtained from each patient.
resultsThe mean age of the patients was 38.4 years, and the male to female ratio was 220:148. The pericardial effusion was classified by echocardiography as severe in 53% of the patients, moderate in 43%, and mild in 4%. The incidence of cardiac tamponade was 25%. Myocardial injury requiring sternotomy occurred as an operative complication in 0.8% of the patients and recurrent effusion necessitating further surgical intervention developed in 10% of patients. Histopathological examination and the polymerase chain reaction of specimens of pericardium and fluid were helpful for establishing a diagnosis in 90% of patients with malignancy and 92% of patients with tuberculous pericarditis. The overall 30 day mortality rate was 0.8%. Patients were followed up for at least one year. Pericardial constriction requiring pericardiectomy developed in 3% of the patients.
conclusionsPericardial effusions of various causes can be safely, effectively, and quickly managed with subxiphoid pericardiostomy in both adults and children.
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