Mäurer W, Rauch B, Schwarz F, Mehmel H C, Senges J, Kübler W
Dtsch Med Wochenschr. 1981 Nov 20;106(47):1571-5. doi: 10.1055/s-2008-1070556.
After aspiration of the pericardial space 10 to 20 ml of contrast medium were injected into the pericardial sac in 11 patients with in part large pericardial effusions. Thus the effusion became directly visible on fluoroscopy and a satisfactory position of the aspiration cannula in the pericardial sac was ascertained. Complete drainage of the pericardial effusion could be well observed by fluoroscopy. The pericardial effusion dyed by contrast medium and the surrounding structures could be filmed by kinecardiography with a 35 mm camera ("pericardiography"). In contrast to echocardiography pericardiography resulted in additional important diagnostic information in two patients. Direct contrast medium demonstration of pericardial effusions and of the pericardium improves the safety during pericardial aspiration and enlarges the diagnostic possibilities particularly in ill-defined pericardial diseases and septated pericardial processes.
在11例部分存在大量心包积液的患者中，在心包腔穿刺后，向心包腔内注入10至20毫升造影剂。这样，积液在荧光透视下直接可见，并且确定了穿刺套管在心包腔内的满意位置。通过荧光透视可以很好地观察到心包积液的完全引流。用35毫米相机进行心动电影摄影（“心包造影”）可以拍摄到被造影剂染色的心包积液及其周围结构。与超声心动图相比，心包造影在两名患者中获得了额外的重要诊断信息。心包积液和心包的直接造影剂显示提高了心包穿刺的安全性，并扩大了诊断可能性，特别是在不明确的心包疾病和分隔的心包病变中。
