Pericardiocentesis and Balloon Pericardiotomy

Gurpreet S. Johal, Amit Hooda, Reza Masoomi, Annapoorna Kini

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

The pericardial space usually contains up to 50 ml of serous fluid and the pressure in this space varies with changes in intrathoracic pressure during respiration, ranging between -5 cm and +5 cm H2O [1]. Typically, minor changes in volume and pressure are compensated for by pericardial compliance. However, rapid accumulation of even a small volume of fluid can lead to profound changes in pressure and tamponade. As the pressure in the pericardial space rises and near equalizes with the intracardiac pressure, ventricular filling is restricted, cardiac output is reduced, and hemodynamic instability ensues. This generally occurs when the intracardiac pressure reaches 15-20 mmHg [1].

Original languageEnglish
Title of host publicationPractical Manual of Interventional Cardiology
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Pages441-449
Number of pages9
ISBN (Electronic)9783030685386
ISBN (Print)9783030685379
DOIs
StatePublished - 1 Jan 2021

Keywords

  • Balloon Pericardiotomy
  • Cardiac Tamponade
  • Drainage
  • Hemodynamic
  • Pericardial Effusion
  • Pericardial Space
  • Pericardial Window
  • Pericardiocentesis

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