Thanopoulos B D, Georgakopoulos D, Tsaousis G S, Triposkiadis F, Paphitis C A
Department of Pediatric Cardiology, Aghia Sophia Athens Children's Hospital, Athens, Greece.
Cathet Cardiovasc Diagn. 1997 Jan;40(1):97-100. doi: 10.1002/(sici)1097-0304(199701)40:1<97::aid-ccd19>3.0.co;2-r.
To evaluate the safety and efficacy of pericardial window creation by percutaneous balloon dilation in children with recurrent, symptomatic, nonmalignant pericardial effusion, 6 boys and 4 girls, age 5-12 yr, underwent the procedure using the subxiphoid approach. The procedure was successful in 9 patients. There was one case with rupture of the balloon and entrapment of its distal part within the pericardium. During follow-up (mean 14.6 mo) there was reaccumulation of fluid only in the patient in whom rupture of the balloon had occurred. No other complications were noted. Thus, percutaneous balloon pericardiotomy appears to be a safe and effective technique for the creation of a pericardial window in children with nonmalignant pericardial effusions, and may be used as an alternative to surgical window creation.
为评估经皮球囊扩张术创建心包开窗术治疗复发性、有症状、非恶性心包积液患儿的安全性和有效性，对6名男孩和4名女孩（年龄5 - 12岁）采用剑突下途径进行了该手术。9例手术成功。有1例球囊破裂，其远端部分被困于心包内。在随访期间（平均14.6个月），仅球囊破裂的患者出现了液体再次积聚。未观察到其他并发症。因此，经皮球囊心包切开术似乎是为非恶性心包积液患儿创建心包开窗的一种安全有效的技术，可作为手术开窗的替代方法。
