Banu Şahin YILDIZ, Regayip ZEHİR, Can YÜCEL KARABAY, Ahmet Çağrı AYKAN

Therapeutic Pericardiocentesis Under the Guidance of Transthoracic Echocardiography with the Use of Agitated Saline Contrast

Kardiyak tamponad acil müdahale gerektiren, hayatı tehdit eden bir hastalıktır. Biriken sıvı cerrahi ya da perkütan yol ile boşaltılabilir. Perikardiyal efüzyonun perkütan yol ile boşaltılması, miyokardiyal ve koroner laserasyon, perforasyon, hava embolisi, pnömotoraks, aritmi, periton yaralanması, abdominal organ hasarı, internal mamariyen arter fi stülizasyonu, akut pulmoner ödem ve pürülan perikardit riski taşır. Biz bu yazıda perikardiyosentez için kolay ve güvenli bir metod olarak, perikardiyal boşluğa kateter ve klavuz tel yerleştirmeden önce Seldinger iğnesinden kontrast amaçlı ajite serum uygulanan bir olguyu sunuyoruz. Basit, rahat ve kolay uygulanabilir bir yöntem olması nedeniyle kateter ve kılavuz telin perikardiyal boşluğa yerleştirilmesinden önce uygulan ajite serum kontrast ile bu istenmeyen komplikasyonların önüne geçilebilir.

Transtorasik Ekokardiyografi Kılavuzluğunda Yapılan Terapatik Perikardiyosentezde Kontrast Madde Olarak Ajite Serum Kullanılması

Cardiac tamponade is a life-threatening condition requiring urgent intervention. It may either be drained surgically or percutaneously. Percutaneous drainage of pericardial effusion bears the risk of laceration and perforation of the myocardium and the coronary vessels, air embolism, pneumothorax, dysrhythmias, puncture of the peritoneal cavity and abdominal viscera, internal mammary artery fi stula, acute pulmonary edema, and purulent pericarditis. Here, we report an easy and safe approach for pericardiocentesis under the guidance of agitated saline contrast injection through a Seldinger needle before inserting guidewire and catheter. This cheap, easy, feasible, and comfortable method of injection of agitated saline contrast before the insertion of guidewire and catheter may prevent the undesired complications.

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