Pericardiocentesis

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Pericardiocentesis is a procedure that uses a needle to remove fluid from the pericardial sac. This is the tissue that surrounds the heart. Also called pericardial tap, Pericardiocentesis is a technique completed to dispose of constructed fluid withinside the fibrous sac called the pericardium across the coronary heart. The usage of a needle and small catheter to empty extra fluid. Pericardiocentesis is a technique completed to dispose of fluid that has constructed up withinside the sac across the coronary heart (pericardium). It completed the usage of a needle and small catheter to empty extra fluid. A fibrous sac called the pericardium surrounds the coronary heart. 



Why pericardiocentesis is needed:


Pericardiocentesis can help drain the fluid around the heart. And it can help diagnose the cause of the extra fluid...

  • Inflammation or infection of the pericardium. This includes bacterial and viral infections, including after COVID-19 infection or in people with Human Immunodeficiency Virus (HIV).

  • Chronic immune diseases like lupus, rheumatoid arthritis and scleroderma.

  • Heart cancer.

  • Heart failure

  • Hypothyroidism (underactive thyroid gland).

  • Injury

  • Reactions to certain drugs

  • Radiation

  • Metabolic causes, like kidney failure with uremia

  • Advanced cancer.

  • Heart attack (especially if the heart wall ruptures).

  • Tuberculosis (more common in developing countries)



Risk factor

 

All procedures have some risks. The risks of pericardiocentesis include:

  • Puncturing the heart, which may require surgery to repair

  • Puncturing the liver

  • Excess bleeding, might compress the heart and affect its normal function

  • Air in the chest cavity

  • Infection

  • Abnormal heart rhythms (which can cause death in rare instances)

  • Heart failure with fluid in the lungs (rare)



Test before procedure

 

  • Chest X-ray

  • Electrocardiogram (ECG), to check the heart rhythm

  • Blood tests, to assess general health

  • Echocardiogram, to view blood flow through the heart and the fluid around the heart

  • CT or MRI, if the doctor needs more information about the heart

  • Heart catheterization, to measure the pressure within the heart

 


 Accounting for thorough experience and practice, Dr Aritra Konar is the best cardiologist in Kolkata. He has been deemed one of the best cardiologists in Kolkata for his expertise lies in Coronary (femoral & radial routes) angiography, Coronary angioplasty (including primary angioplasty), Peripheral angiography and angioplasty, BMV, BPV, Right heart catheterization and so on, in procedural skills. His guidance is trusted and so are his skills.

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