Kilicaslan Baris, Susam Ibrahim, Dursun Huseyin, Ekmekci Cenk, Aydin Mehmet, Ozdogan Oner
Tepecik Research and Training Hospital, Izmir, Turkey.
Cardiovasc J Afr. 2013 May 23;24(4):e10-2. doi: 10.5830/CVJA-2013-019.
Recurrent pericardial effusion is often caused by pericardial metastases of extra-cardiac tumours. These effusions may be moderate to severe, leading to cardiac tamponade. The treatment is emergency pericardiocentesis but in spite of the initial success of that treatment, the effusions have high recurrence rates. Here we describe our experience of percutaneous balloon pericardiotomy (PBP) using the Inoue balloon for the management of three patients with malignant pericardial effusions secondary to lung cancer.
In our clinic, three patients with recurrent pericardial effusion secondary to lung cancer were treated with percutaneous pericardiotomy with an Inoue valvuloplasty balloon catheter through the subxiphoid approach.
Successful drainage with balloon pericardiotomy was achieved in all patients without severe complications. In all cases, only one pericardial site was dilated at least three times. During the four to six months of follow up, there were no recurrences of the effusion or tamponade. All patients were still alive.
In our experience, PBP with the Inoue balloon appears to be a simple and safe procedure with a high success rate. PBP is an effective method for the management of patients with recurrent, large, malignant pericardial effusions.
复发性心包积液常由心外肿瘤的心包转移引起。这些积液可能为中度至重度，导致心脏压塞。治疗方法是紧急心包穿刺术，但尽管该治疗最初取得成功，积液的复发率仍很高。在此，我们描述使用Inoue球囊进行经皮球囊心包切开术（PBP）治疗3例继发于肺癌的恶性心包积液患者的经验。
在我们的诊所，3例继发于肺癌的复发性心包积液患者通过剑突下途径，使用Inoue瓣膜成形球囊导管进行经皮心包切开术治疗。
所有患者均通过球囊心包切开术成功引流，无严重并发症。所有病例中，仅一个心包部位至少扩张了3次。在4至6个月的随访期间，积液或心脏压塞均无复发。所有患者均存活。
根据我们的经验，使用Inoue球囊进行PBP似乎是一种简单、安全且成功率高的手术。PBP是治疗复发性、大量恶性心包积液患者的有效方法。
