Section of Interventional Radiology, Cleveland Clinic 9500 Euclid Avenue, L10, Cleveland, OH, 44195, USA.
Curr Cardiol Rep. 2023 Nov;25(11):1433-1441. doi: 10.1007/s11886-023-01965-9. Epub 2023 Oct 19.
The purpose of this article is to serve as a practical guide to computed tomography (CT)-guided pericardiocentesis and to discuss the role of this approach in current clinical practice. An overview of indications, technique, advantages, and limitations specific to CT-guided pericardiocentesis will be provided. The reader will have an enhanced understanding of the use of this imaging modality to guide pericardial drainage.
Use of CT guidance to drain the pericardial space is safe, especially when adequate echocardiographic evaluation is precluded and when echocardiography-guided pericardiocentesis is deemed unsafe and or not feasible. Our review and experience indicate that CT-guided pericardiocentesis is technically successful in more than 94% of patients, with a low risk (<1%) of significant complications. CT-guided pericardiocentesis is therefore a viable alternative when echocardiographic guidance is insufficient and can obviate the need for surgery in most patients.
本文旨在为 CT 引导下心包穿刺术提供实用指南，并讨论该方法在当前临床实践中的作用。本文将概述 CT 引导下心包穿刺术的适应证、技术、优点和局限性。读者将更深入地了解这种影像学方法在引导心包引流中的应用。
使用 CT 引导来引流心包腔是安全的，尤其是在无法进行充分超声心动图评估，以及超声心动图引导下心包穿刺术被认为不安全或不可行的情况下。我们的回顾和经验表明，CT 引导下心包穿刺术在超过 94%的患者中技术上是成功的，严重并发症的风险<1%。因此，在超声心动图引导不足时，CT 引导下心包穿刺术是一种可行的替代方法，并且可以避免大多数患者需要手术。
