Rationale and Objectives
To compare short-term outcomes of CT-guided percutaneous pericardial drainage (PPD)
versus subxiphoid surgical pericardial window (PW) drainage and analyze the risk factors
associated with their outcomes.
Materials and Methods
A retrospective chart review of patients who underwent either percutaneous drainage
with drainage catheter placement or PW with surgical drain placement for symptomatic
pericardial effusion between January 1, 2006 and August 31, 2016 was performed after
institutional review board approval (decision number 16-783). The primary objective
was to test for associations between the short-term (≤30 days post procedure) complication
and recurrence rates in patients with symptomatic pericardial effusions. The secondary
objectives were to test for associations between short-term complications with changes
in vital signs.
Results
Of the 257 procedures included in the final analysis, 142 were in the percutaneous
drainage group. Short-term complication rate was significantly greater (p < 0.001) in patients undergoing PW, 17% (19/114), as compared with PPD, 2% (3/142).
The estimated odds of having complications in the PW cohort was 9 times greater than
the percutaneous drainage cohort (OR = 9.3, 95% CI: 2.7-32.3). No significant difference
was observed between whether or not a patient experienced a short-term recurrence
and any of the explanatory variables (patient demographics, imaging, and vital signs).
Conclusion
CT-guided PPD is a safer alternative to surgical PW as it leads to fewer complications
without a significant difference in recurrence rate of pericardial effusion.
Key Words
Abbreviations:
CT (computed tomography), CPT (current procedural terminology), DBP (diastolic blood pressure), Fr (French), HR (heart rate), IQR (interquartile rank), IR (interventional radiology), MAP (mean arterial pressure), OR (odds ratio), PPD (percutaneous pericardial drainage), PW (pericardial window), SBP (systolic blood pressure), US (ultrasound)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 14, 2023
Accepted:
February 16,
2023
Received in revised form:
February 9,
2023
Received:
November 9,
2022
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest: The authors declare that there are no conflicts of interest.
Funding: None.
Identification
Copyright
© 2023 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.
