Percutaneous balloon pericardiotomy :What is the anatomical track ? Where does the fluid drain ?
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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: dr s venkatesan Tags: cardiac tamponade Cardiology -Therapeutic dilemma Pericardium balloon pericardiotomy percutaneous baloon pericardiocentesis Source Type: blogs
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