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Latest revision as of 15:14, 10 May 2014

Indications for therapeutic pericardiocentesis
Hemodynamic compromise and cardiac tamponade in patients with pericardial effusions (Class I)
Effusions >20 mm in echocardiography in diastole (Class IIa)
Large chronic effusions resistant to dialysis (Class IIa)
Indications for diagnostic pericardiocentesis
If additional procedures are available (e.g., pericardial fluid and tissue analyses, pericardioscopy, and epicardial/pericardial biopsy) which could reveal the etiology of the disease and permit further causative therapy (Class IIa)
Suspected neoplastic effusion without tamponade (Class IIa)
Contraindications for pericardiocentesis
Aortic dissection
Uncorrected coagulopathy
Anticoagulant therapy
Thrombocytopenia <50,000 per mm3
Small, posterior, and loculated effusions



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