Herren Josi L, Chan HingKui, Ray Charles E
Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois.
Semin Intervent Radiol. 2022 Aug 31;39(3):271-274. doi: 10.1055/s-0042-1753523. eCollection 2022 Jun.
Pericardial effusions can occur from multiple different etiologies. Although often incidentally noted or clinically silent, pericardial effusions may cause significant hemodynamic compromise. In some of these patients, pericardiocentesis may be temporizing only and either repeat procedures or placement of pericardial drains may be preferable. While cardiologists typically perform pericardial drain placement, it is a procedure that may also be performed by interventional radiologists. This article describes for the interventional radiologist the indications and placement technique, as well as potential complications occurring from pericardial drain placement.
心包积液可由多种不同病因引起。尽管心包积液常常是偶然发现或临床上无症状，但它可能导致严重的血流动力学损害。在一些此类患者中，心包穿刺术可能只是暂时缓解症状，重复操作或放置心包引流管可能更为可取。虽然通常由心脏病专家进行心包引流管放置，但介入放射科医生也可实施该操作。本文为介入放射科医生介绍心包引流管放置的适应证、放置技术以及可能出现的并发症。
