Oya RENDECİ, Fahri ADALI, A. Vefa ÖZCAN, Harun EVRENGÜL, Ahmet BALTALARLI, Gökhan ÖNEM, İbrahim GÖKŞİN, Mustafa SAÇAR

Kardiyak tamponad tedavisinde subksifoid perikardiyal pencere ve perkutan kateter ile drenaj

Amaç: Bu çalışmada kardiyak tamponad hastalarında subksifoid perikardiyal pencere ve perkütan kateter drenaj tekniklerinin sonuçları karşılaştırıldı. Çalışma planı: Mayıs 1998-Eylül 2004 tarihleri arasında, kardiyak tamponad nedeniyle 33 hasta (19 erkek, 14 kadın; ort. yaş 45.4; dağılım 13-68), subksifoid perikardiyal pencere (n=21) veya perkütan kateter drenaj (n=12) yöntemiyle tedavi edildi. İki teknik mortalite, komplikasyon ve nüks oranları açısından karşılaştırıldı. Bulgular: Subksifoid perikardiyal pencere tekniği ile ameliyat edilen hastalada cerrahi mortalite ve komplikasyon gelişmedi. Ancak perkütan kateter drenaj tekniğinde mortalite ve komplikasyon oranı önemli derecede yüksek bulundu (sırasıyla %8.3 ve %16.6). Perkütan kateter drenaj uygulaması sonrası 12 hastanın üçünde (%25) perikardiyal efüzyonda semptomatik nüks görüldü. Subksifoid perikardiyal pencere uygulanan hastalarda ise efüzyonda nüks oranı %4.8'di (1/21) (p

Subxiphoid pericardial window and percutaneous catheter drainage for treatment of cardiac tamponade

Background: The outcomes of subxiphoid pericardial window and percutaneous catheter drainage techniques were compared in patients with cardiac tamponade. Methods: Thirty three patients with cardiac tamponade (19 men, 14 women; mean age 45.4; range 13 to 68 years) were treated with either subxiphoid pericardial window (n=21) or percutaneous catheter drainage (n=12) between May 1998 and September 2004. The two techniques were compared in terms of mortality, complication and recurrence rates. Results: No operative deaths or complications were observed in patients treated with the subxiphoid pericardial window technique. In contrast, percutaneous catheter drainage was associated with significantly higher mortality (8.3%) and complication rates (16.6%). Symptomatic recurrence of pericardial effusion after percutaneous catheter drainage occurred in 3 (25%) out of 12 patients, However, the overall effusion recurrence rate among patients undergoing subxiphoid pericardial window was 4.8% (1 out of 21) (p

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