SynthesisTherapeutic advances in cardiovascular disease2018
Computed tomography-guided pericardiocentesis: a systematic review concerning contemporary evidence and future perspectives.
Synthesis in Therapeutic advances in cardiovascular disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- Iatrogenic Pneumopericardium After Pericardiocentesis: A Systematic Review and Case Report.Journal of cardiovascular development and disease · 2025Review
- Computerized tomography angiography in diagnosing an obtuse marginal branch perforation after pericardiocentesis: a case report.Frontiers in cardiovascular medicine · 2025Article
- Transthoracic Color Doppler Ultrasound-Guided Grooved Negative Pressure Drainage Tube Implantation in Pericardial Effusion After Cardiac Surgery.Brazilian journal of cardiovascular surgery · 2023Article
- CT-Guided Pericardiocentesis in a Case of Tension Pneumopericardium and Tamponade Secondary to an Enteropericardial Fistula.JACC. Case reports · 2023Article
- CT-Guided Pericardial Drainage: A Safe and Viable Alternative to Ultrasound-Guided Drainage.Seminars in interventional radiology · 2022Review
- High frequency ultrasound-guided pericardiocentesis performed in the sitting position: A novel apical approach.Clinical cardiology · 2021Article
- Overview of Optimal Techniques for Pericardiocentesis in Contemporary Practice.Current cardiology reports · 2020Review
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPericardial effusion (PE) can develop in several pathological scenarios, and is often initially evaluated by means of echocardiography. Computed tomography (CT) has been used as an aid in the management of patients presenting with PE, in selected cases. The role of CT-guided pericardiocentesis in contemporary practice, however, remains not fully ascertained. We aimed at presenting a systematic review concerning the state-of-the-art of this technique.
methodsA systematic review of published data on the use of CT for guiding pericardiocentesis was carried out (search performed on PubMed, ISI Web of Knowledge and Scopus databases).
resultsFrom title and abstract analysis, 14 articles were included that met the prespecified criteria. After full-text analysis, six articles were excluded. The eight articles under analysis included a total of 635 procedures performed in 571 patients. CT guidance was mostly used in a postoperative setting (364 procedures). Most procedures were done mainly for therapeutic purposes (528 procedures). Success rates ranged from 94% to 100%. Complications ranged from 0% to 7.8%.
conclusionCT-guided pericardiocentesis is a useful technique in the approach to PE, in several clinical scenarios. Its use can be especially relevant in the postoperative period, as well as in individuals with suboptimal image quality (as assessed by echocardiography, for the moment the first choice in the approach to most cases of PE).
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