Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10745
Title: Subxiphoid partial pericardiectomy with or without sclerosant instillation in the treatment of symptomatic pericardial effusions in patients with malignancy.
Authors: Chan, A;Rischin, D;Clarke, C Peter;Woodruff, R K
Affiliation: Department of Medical Oncology, Austin Hospital, Melbourne, Australia.
Issue Date: 1-Sep-1991
Citation: Cancer; 68(5): 1021-5
Abstract: Twenty-two patients with malignant pericardial effusions were treated with subxiphoid partial pericardiectomy between 1984 and 1989. Thirteen patients also had a sclerosing agent instilled intrapericardially. Tamponade was relieved by pericardiocentesis before administration of general anesthesia. In 18 patients (82%), the effusions were controlled for longer than 30 days, and two patients died before 30 days without effusion. There were two recurrences at 1.5 and 7 months. There was one death due to hemorrhage from a laceration in a heavily infiltrated pericardium, and one patient had persistent dyspnea after the procedure. Complications included transient atrial arrhythmias (two patients), chest pain after sclerosant instillation (three patients), and fever greater than 37.5 degrees C after sclerosant (five patients). The survival range was 0.1 to 18 months (median, 5 months). Subxiphoid partial pericardiectomy with or without intrapericardial sclerosant is a safe and efficacious treatment for malignant pericardial effusions.
Internal ID Number: 1913473
URI: http://ahro.austin.org.au/austinjspui/handle/1/10745
URL: http://www.ncbi.nlm.nih.gov/pubmed/1913473
Type: Journal Article
Subjects: Adult
Aged
Aged, 80 and over
Combined Modality Therapy
Female
Humans
Male
Middle Aged
Neoplasms.complications.pathology.therapy
Pericardial Effusion.etiology.pathology.surgery.therapy
Pericardiectomy
Sclerosing Solutions.therapeutic use
Xiphoid Bone.surgery
Appears in Collections:Journal articles

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