ArticleEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine2018
Ultrasound-guided pericardiocentesis: a novel parasternal approach.
Article in European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 47 citations in OpenAlex.
- Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: "How to Avoid Cardiac Arrest".Life (Basel, Switzerland) · 2025Article
- Complication rates in real-time ultrasound-guided vs static echocardiography-guided pericardiocentesis: a cohort study.Echo research and practice · 2025Article
- Pericardiocentesis simulation model: conception and development.Acta cirurgica brasileira · 2025Article
- Off-plane technique ultrasound-guided pericardiocentesis via anterior approach: short communication.The ultrasound journal · 2024Article
- Ultrasound during Advanced Life Support-Help or Harm?Diagnostics (Basel, Switzerland) · 2024Article
- Comparison of PLANE Technique versus Standard Echocardiography Guidance for Pediatric Pericardiocentesis.Journal of pediatric intensive care · 2024Article
- A case report on ultrasound-guided pericardiocentesis with a right parasternal approach: a novel in-plane lateral-to-medial technique.International journal of emergency medicine · 2024Article
- Non-traumatic parasternal pericardiocentesis.BMJ case reports · 2023Article
- A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach.The ultrasound journal · 2022Article
- Ultrasound emergency lateral-to-medial parasternal pericardiocentesis with high frequency probe in COVID-19: a case report.European heart journal. Case reports · 2022Article
- Feasibility and safety of CT-aided pericardiocentesis from a subxiphoid anterior approach by using fluoroscopy in patients with chronic pericardial effusions.Clinical cardiology · 2022Article
- High frequency ultrasound-guided pericardiocentesis performed in the sitting position: A novel apical approach.Clinical cardiology · 2021Article
- A Novel, Low-cost, Low-fidelity Pericardiocentesis Teaching Model.The western journal of emergency medicine · 2021Article
- What is the ideal approach for emergent pericardiocentesis using point-of-care ultrasound guidance?World journal of emergency medicine · 2021Article
- Idiopathic hemodynamically unstable polymicrobial purulent pericarditis: a rare case presentation.Journal of the American College of Emergency Physicians open · 2020Article
- Cardiac Tamponade.Journal of education & teaching in emergency medicine · 2020Article
- Basic point-of-care ultrasound framework based on the airway, breathing, and circulation approach for the initial management of shock and dyspnea.Acute medicine & surgeryReview
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Authors and funding
5 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to evaluate a novel pericardiocentesis technique using an in-plane parasternal medial-to-lateral approach with the use of a high-frequency probe in patients with cardiac tamponade.
backgroundEchocardiography is pivotal in the diagnosis of pericardial effusion and tamponade physiology. Ultrasound guidance for pericardiocentesis is currently considered the standard of care. Several approaches have been described recently, which differ mainly on the site of puncture (subxiphoid, apical, or parasternal). Although they share the use of low-frequency probes, there is absence of complete control of needle trajectory and real-time needle visualization. An in-plane and real-time technique has only been described anecdotally. METHODS AND
resultsA retrospective analysis of 11 patients (63% men, mean age: 37.7±21.2 years) presenting with cardiac tamponade admitted to the tertiary-care emergency department and treated with parasternal medial-to-lateral in-plane pericardiocentesis was carried out. The underlying causes of cardiac tamponade were different among the population. All the pericardiocentesis were successfully performed in the emergency department, without complications, relieving the hemodynamic instability. The mean time taken to perform the eight-step procedure was 309±76.4 s, with no procedure-related complications.
conclusionThe parasternal medial-to-lateral in-plane pericardiocentesis is a new technique theoretically free of complications and it enables real-time monitoring of needle trajectory. For the first time, a pericardiocentesis approach with a medial-to-lateral needle trajectory and real-time, in-plane, needle visualization was performed in a tamponade patient population.
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