{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T08:39:35Z","timestamp":1793090375610,"version":"4.5.0"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S104795112100278X_as1\"><jats:title>Background:<\/jats:title><jats:p>Pericardiocentesis is the invasive percutaneous procedure for acute and chronic excessive accumulation of pericardial fluid. There is a paucity of data on the effectiveness and safety of pericardiocentesis in children.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112100278X_as2\"><jats:title>Objectives:<\/jats:title><jats:p>To evaluate the effectiveness and safety of pericardiocentesis and factors associated with acute procedural failure and adverse events.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112100278X_as3\"><jats:title>Methods:<\/jats:title><jats:p>This was a single-centered retrospective study to describe all the children aged \u226420 years who underwent pericardiocentesis. Data on demographics, etiologies of pericardial effusion, and repeat intervention at follow-up were collected.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112100278X_as4\"><jats:title>Results:<\/jats:title><jats:p>A total of 127 patients underwent 153 pericardiocentesis. The median age was 6.5 years (1 day\u201320 years) with weight of 17 kg (0.5\u2013125). Most common etiology was post-pericardiotomy syndrome (n = 56, 44%), followed by infectious (12%), malignant (10%), and iatrogenic (9%). Pericardiocentesis was performed more commonly in the catheterisation laboratory (n = 86, 59%). Concurrent pericardial drain placement was performed in 67 patients (53%). Acute procedural success was 92% (141\/153). Repeat intervention was performed in 33 patients (22%). The incidence of adverse events was 4.6% (7\/153): hemopericardium requiring emergent surgery (n = 2); hemopericardium with hypotension (n = 2); seizure with anesthesia induction (n = 1); and right ventricle puncture with needle (n = 2). Pericardiocentesis at the bedside had a higher rate of acute procedural failure than that in the catheterisation lab (17 versus 1%, p &lt; 0.01). No identifiable risk factors were associated with adverse events.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112100278X_as5\"><jats:title>Conclusions:<\/jats:title><jats:p>Pericardiocentesis was life-saving in children with its high effectiveness and safety even in urgent situations. Although initial pericardiocentesis was effective, one of five patients required re-intervention for recurrent pericardial effusion.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s104795112100278x","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T08:24:47Z","timestamp":1627287887000},"page":"606-611","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":9,"title":["Pericardiocentesis in children: 20-year experience at a tertiary children\u2019s hospital"],"prefix":"10.1017","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1115-0541","authenticated-orcid":false,"given":"Christopher","family":"Herron","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Forbes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"S104795112100278X_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(98)70159-2"},{"key":"S104795112100278X_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-016-0466-3"},{"key":"S104795112100278X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccl.2017.07.010"},{"key":"S104795112100278X_ref7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.87.5.1738"},{"key":"S104795112100278X_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.07.057"},{"key":"S104795112100278X_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-014-0378-z"},{"key":"S104795112100278X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90212-H"},{"key":"S104795112100278X_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.2.191"},{"key":"S104795112100278X_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(84)90658-1"},{"key":"S104795112100278X_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)62211-8"},{"key":"S104795112100278X_ref1","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-199604001-00170"},{"key":"S104795112100278X_ref16","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1013689"},{"key":"S104795112100278X_ref17","first-page":"590","article-title":"Comparison of surgical pericardial drainage with percutaneous catheter drainage for pericardial effusion","volume":"24","author":"Saltzman","year":"2012","journal-title":"J Invasive Cardiol"},{"key":"S104795112100278X_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-016-1438-z"},{"key":"S104795112100278X_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(98)70022-7"},{"key":"S104795112100278X_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-016-1540-2"},{"key":"S104795112100278X_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08763-9"},{"key":"S104795112100278X_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951120003686"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112100278X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T07:50:46Z","timestamp":1665388246000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112100278X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,26]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["S104795112100278X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112100278x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,26]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. 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