Dtsch Med Wochenschr 2020; 145(21): 1569-1572
DOI: 10.1055/a-1066-8935
Schritt für Schritt

Perikardpunktion – Schritt für Schritt

Pericardiocentesis – step by step
Nils Petri
,
Dirk Weismann

Eine Perikardpunktion dient einerseits der notfallmäßigen und sofortigen Entlastung einer Herztamponade, andererseits lässt sich das Verfahren zu differenzialdiagnostischen Zwecken einsetzen – jedoch meist nur mit mäßigem Erfolg. Dem gegenüber stehen hohe Risiken, wie Verletzungen von Lunge, Leber und dem Herzen selbst. Dieser Schritt-für-Schritt-Beitrag erläutert das sichere Vorgehen einer echokardiografisch gestützten Perikardpunktion.

Abstract

A pericardial effusion can be caused by malignant, infectious and autoimmune diseases or by trauma, such as a coronary artery rupture during a cath procedure. In the case of a cardiac tamponade a pericardiocentesis has to be performed immediately.

Additionally, a pericardiocentesis may also be performed for diagnostic purposes. However, since histologic and microbiologic findings are rarely pointing to hitherto unsuspected results, the risk of the procedure must very carefully be weighed against its benefits. The risks of a pericardiocentesis include injuries to the lungs and liver as well as the heart itself, such as puncture of the right ventricle or the rupture of a coronary artery.

This article is a step-by-step description of how to safely perform an ultrasound-guided pericardiocentesis.



Publication History

Publication Date:
20 October 2020 (online)

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany