{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:18:25Z","timestamp":1787872705460,"version":"build-2784847793"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pericardiocentesis is a life-saving intervention in the treatment of cardiac tamponade. This study aims to evaluate the safety, efficacy, and short-term outcomes of fluoroscopy-guided pericardiocentesis performed by cardiovascular surgeons in a hybrid operating room setting.<\/jats:p>\n                  <jats:p>Data from 64 patients who underwent fluoroscopy-guided percutaneous drainage for symptomatic pericardial effusion in a hybrid operating room between January 2020 and December 2024 were analyzed retrospectively. Procedures were performed using a standard subxiphoid approach and a pigtail catheter.<\/jats:p>\n                  <jats:p>The etiology was malignancy in 31.2% (n\u2009=\u200920) of the patients. The median maximum effusion diameter measured on preoperative echocardiography was 24\u2009mm (interquartile range [IQR]: 20\u201328\u2009mm), which decreased significantly to 7\u2009mm (IQR: 5\u20139\u2009mm) on postoperative evaluation (p\u2009&lt;\u20090.001). The minor complication rate was 1.5% (n\u2009=\u20091, pneumothorax). No surgical conversion (sternotomy) was required during the procedures. Reintervention was required in only two patients (3.1%) during the 3-month follow-up.<\/jats:p>\n                  <jats:p>Fluoroscopy-guided pericardiocentesis performed under hybrid operating room conditions represents a safe option with low complication and recurrence rates, even in high-risk groups such as malignancy. The real-time anatomical visualization provided by fluoroscopy, combined with the surgical infrastructure of the hybrid environment, provides a feasible workflow for cardiac surgeons. However, these findings need to be supported by more extensive and comparative studies.<\/jats:p>","DOI":"10.1055\/a-2849-6543","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T22:59:36Z","timestamp":1775689176000},"page":"455-459","source":"Crossref","is-referenced-by-count":1,"title":["Fluoroscopic Pericardiocentesis by Cardiac Surgeons: Hybrid Setup Outcomes"],"prefix":"10.1055","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4935-0816","authenticated-orcid":false,"given":"Erturk","family":"Karaagac","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuri Utkan","family":"Tunca","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serkan","family":"Yazman","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Iner","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuksel","family":"Besir","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levent","family":"Yilik","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Gurbuz","sequence":"additional","affiliation":[{"name":"Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.echo.2013.06.023","article-title":"American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography","volume":"26","author":"A L Klein","year":"2013","journal-title":"J Am Soc Echocardiogr"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.5603\/KP.2015.0228","article-title":"2015 ESC Guidelines for the diagnosis and management of pericardial diseases","volume":"73","author":"Y Adler","year":"2015","journal-title":"Kardiol Pol"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1038\/s41572-023-00446-1","article-title":"Cardiac tamponade","volume":"9","author":"Y Adler","year":"2023","journal-title":"Nat Rev Dis Primers"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.ehj.2004.02.002","article-title":"Guidelines on the Diagnosis and Management of Pericardial Diseases Executive Summary; The Task Force on the diagnosis and management of pericardial diseases of the European Society of Cardiology","volume":"25","author":"B Maisch","year":"2004","journal-title":"Eur Heart J"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/HPC.0b013e318254a5ca","article-title":"A novel pericardial effusion scoring index to guide decision for drainage","volume":"11","author":"D G Halpern","year":"2012","journal-title":"Crit Pathw Cardiol"},{"issue":"34","key":"ref6","doi-asserted-by":"crossref","first-page":"2279","DOI":"10.1093\/eurheartj\/ehu217","article-title":"Triage strategy for urgent management of cardiac tamponade: A position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases","volume":"35","author":"A D Risti\u0107","year":"2014","journal-title":"Eur Heart J"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"265","DOI":"10.3390\/medicina61020265","article-title":"Safety and efficacy of echo- vs. fluoroscopy-guided pericardiocentesis in cardiac tamponade","volume":"61","author":"D S Simeunovi\u0107","year":"2025","journal-title":"Medicina (Kaunas)"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1016\/j.crvasa.2015.07.001","article-title":"Pericardiocentesis guided by echocardiography performed in echocardiography laboratory\u2013Safety profile of the single center prospective registry","volume":"57","author":"W El-Husseini","year":"2015","journal-title":"Cor Vasa"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1016\/j.jvir.2015.07.014","article-title":"Percutaneous pericardial effusion drainage under ultrasonographic and fluoroscopic guidance for symptomatic pericardial effusion: a single-center experience in 93 consecutive patients","volume":"26","author":"E Y Kim","year":"2015","journal-title":"J Vasc Interv Radiol"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1159\/000348559","article-title":"Malignant pericardial effusion","volume":"124","author":"I Burazor","year":"2013","journal-title":"Cardiology"},{"key":"ref11","first-page":"3","article-title":"Pericardiocentesis in cardiac tamponade: indications and practical aspects","volume":"15","author":"C C De Carlini","year":"2017","journal-title":"EJ Cardiol Pract"},{"key":"ref12","volume-title":"Pericardiocentesis","author":"D A Willner","year":"2025"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4103\/2229-5151.165007","article-title":"Complications of pericardiocentesis: A clinical synopsis","volume":"5","author":"R Kumar","year":"2015","journal-title":"Int J Crit Illn Inj Sci"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"158","DOI":"10.5761\/atcs.oa.18-00188","article-title":"Safety pericardiocentesis with fluoroscopy following cardiac surgery","volume":"25","author":"I Alp","year":"2019","journal-title":"Ann Thorac Cardiovasc Surg"},{"issue":"11","key":"ref15","doi-asserted-by":"crossref","first-page":"150","DOI":"10.3390\/jcdd8110150","article-title":"Outcomes of patients with and without malignancy undergoing percutaneous pericardiocentesis for pericardial effusion","volume":"8","author":"C-T Shih","year":"2021","journal-title":"J Cardiovasc Dev Dis"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2849-6543.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:48:18Z","timestamp":1787870898000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2849-6543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":15,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2026,8,27]]},"published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2849-6543","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4,8]]},"published":{"date-parts":[[2026,4,8]]}}}