Percutaneous balloon pericardiotomy :What is the anatomical track ? Where does the fluid drain ?

  Take Our Poll (function(d,c,j){if(!d.getElementById(j)){var pd=d.createElement(c),s;pd.id=j;pd.src='http://s1.wp.com/wp-content/mu-plugins/shortcodes/js/polldaddy-shortcode.js';s=d.getElementsByTagName(c)[0];s.parentNode.insertBefore(pd,s);} else if(typeof jQuery !=='undefined')jQuery(d.body).trigger('pd-script-load');}(document,'script','pd-polldaddy-loader')); Take Our Poll (function(d,c,j){if(!d.getElementById(j)){var pd=d.createElement(c),s;pd.id=j;pd.src='http://s1.wp.com/wp-content/mu-plugins/shortcodes/js/polldaddy-shortcode.js';s=d.getElementsByTagName(c)[0];s.parentNode.insertBefore(pd,s);} else if(typeof jQuery !=='undefined')jQuery(d.body).trigger('pd-script-load');}(document,'script','pd-polldaddy-loader')); Answer  : I guess all mechanisms  contribute.Though E appears unlikely,  its backed by evidence (Ref 5) Balloon pericardiotomy is done as a drainage procedure in recurrent pericardial effusion. It is is actually a replication of surgical window  by interventional cardiologist.The window not only drains the effusion it also act as a continuous drain. Though the  benefits are real,( In that the pericardial fluid is shunted away from the pericardial space)  the exact mechanism of its benefit is not clear . By concept , the catheter and  balloon should not cross pleural space , (As pneumothorax may ensue) but still pleural effusion is a common consequence of this procedure .How is this possible ? One probable explanation is,  the pleural sp...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: cardiac tamponade Cardiology -Therapeutic dilemma Pericardium balloon pericardiotomy percutaneous baloon pericardiocentesis Source Type: blogs