Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures
The Mayo Clinic experience
Teresa S. M. Tsang, MD, FACCa,
William K. Freeman, MD, FACCa,
Marion E. Barnes, MSa,
Guy S. Reeder, MD, FACCa,
Douglas L. Packer, MD, FACCa and
James B. Seward, MD, FACCa
a Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

View larger version (20K):
[in a new window]
|
Figure 1 Utilization of catheter-based procedures at the Mayo Clinic, 1980 to 1997. Diag cath = diagnostic catheterization; EP = electrophysiologic study; PTCA = percutaneous transluminal coronary angioplasty and related coronary interventional procedures.
|
|

View larger version (40K):
[in a new window]
|
Figure 2 Hemodynamic status of patients at the time of rescue pericardiocentesis.
|
|

View larger version (27K):
[in a new window]
|
Figure 3 Pericardiocentesis entry sites as determined by echocardiography.
|
|
|