GUIDED PERICARDIOCENTESIS WITH EXTENDED CATHETER DRAINAGE
OF PERICARDIAL EFFUSION
Al Tawil Dj.1, S. Bešlija2 and E.Talirević
Hospital Sarajevo1, Institute of Oncology2, Clinical Center
University of Sarajevo, Bosnia and Herzegovina
Aces of 51 years old women with lung carcinoma
and cardiac tamponade is presented in this paper. A few days after
lung transbronchoscopic, tachycardia, hypotension, tachypnea.
Lungs X rays showed marked cardiac enlargement and she was referred
to echocardiography, which revealed a large pericardial effusion
with 2-D and Doppler signs consistent with overt cardiac tamponade.
She was treated with echo-guided pericardiocentesis with extended
catheter drainage and Tetracycline instillation before catheter
removal. Next two, there was no effusion recurrence. An echo -guided
pericardiocentesis with extended catheter drainage is safe and
affective technique for pericardial effusion management in patients'