CONGRESS ABSTRACT

Background Pericardiocentesis is a life-saving procedure performed in the catheterization lab to manage pericardial effusion and cardiac tamponade. This intervention demands a multidisciplinary approach to ensure safety and precision. While cardiologists perform the procedure, perfusion technicians provide critical support, including equipment preparation (Fig.1), imaging assistance, and procedural coordination. Aim This study aims to evaluate the outcomes of pericardiocentesis performed in a hemodynamic laboratory and emphasize the perfusion technician's essential role in supporting procedural success. Material & Methods From January 2023 to December 2024, 10 pericardiocenteses were performed in our catheterization lab, involving 5 male and 5 female patients with a mean age of 76 years (SD ± 7). In all cases, a subxiphoid approach was utilized, and a soft guidewire was introduced into the transverse pericardial sinus using the Seldinger technique. This ensured that the introducer catheter was positioned in the most declined part of the pericardial space, facilitating complete fluid removal. The procedures were guided by echocardiographic and fluoroscopic imaging. The pericardial fluid volume and characteristics, procedural duration, and imaging findings were recorded and analyzed. Results An average of 500 mL (SD ± 50 mL) of pericardial fluid was removed per procedure. In 70% of cases, the fluid was yellow-citrine, while 30% was sero-hematic (Fig.2). The mean procedural duration was 12 minutes (SD ± 4). The subxiphoid approach and Seldinger technique enabled optimal fluid drainage, with complete resolution of pericardial effusion confirmed by echocardiographic evaluation at the end of the procedure (Fig.3). No complications were reported. The role of the perfusion technician was pivotal in managing imaging systems, ensuring precise catheter placement, and optimizing procedural workflow. Conclusion Pericardiocentesis via the subxiphoid approach, combined with the Seldinger technique and echocardiographic and fluoroscopic guidance, is a safe and effective method for managing pericardial effusion. The collaboration of a skilled perfusion technician is critical, ensuring the success of the procedure through technical and operational support. This study highlights the importance of their role in achieving optimal patient outcomes.