Pericardial puncture

Under a Perikardpunktion ( Pericardiocentesis ) is defined as the diagnostic or therapeutic puncture of pericardium with a cannula .

Indications

Pericardial puncture is usually only performed if there is a pericardial effusion or - very rarely - a significant pneumopericardium . The more pronounced the effusion, the easier it is to puncture.

The punctate obtained can be examined for infectious pathogens, tumor cells and inflammatory cells. If there is a larger effusion, a thin drain can be placed in the pericardium to allow more complete drainage .

execution

A pericardial puncture should only be performed in a hospital by an experienced doctor while monitoring the heart, circulation and breathing. A sedation of patients with midazolam or propofol is recommended. Local anesthesia, adequate disinfection and sterile work are necessary.

Nowadays it is usually performed under ultrasound control, because it helps to avoid incorrect punctures. The coagulation values ​​should be checked before the puncture.

Possible complications

• Cardiac arrhythmias
• Heart injury
• Lung injury

literature

Soler-Soler J, Sagristà-Sauleda J, Permanyer-Miralda G: Management of pericardial effusion. Heart. 2001 Aug; 86 (2): 235-40. Review. PMID 11454853

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !