REGULAR CONTENT
Final ID
516
Type
Original Scientific Research-Poster Only
Authors
C Greben1, D Leon2, S Berry-Tony3
Institutions
1North Shore-LIJ Health System, Manhasset, NY, 2Hofstra Northwell School of Medicine, Hempstead, NY, 3North Shore- LIJ Health System, Manhasset, NY
Purpose
Several surgical and non-surgical techniques may be employed to treat symptomatic pericardial effusion including operative subxyphoid pericardial drainage, the pleuropericardial 'window' procedure, ultrasound guided pericardiocentesis and CT-guided pericardial drain placement. Optimal treatment for pericardial effusions favors image guided techniques. The purpose of this retrospective study is to analyze the efficacy and complication risk and recurrence rate and added benefit of cost effectiveness of CT-guided pericardial drain placement.
Materials & Methods
Retrospective study to review the clinical history, drainage technique, fluid analysis, procedural morbidity and recurrence rate of 141 patients who received CT-guided pericardial drainage catheters over a 3-year period. Cost comparison with surgical techniques was performed to evaluate utilization of health care resources, and length of stay of both cohorts.
Results
All 141 CT-guided pericardial drain placements were performed successfully without intraprocedural complications. One patient had pericardial effusion recurrence that required repeat drainage. One patient experienced purulent recurrence of pericardial effusion secondary to drain dislodgement after the initial placement. The cytopathologic diagnostic yield was 100%. Cost comparison data demonstrates patients who underwent CT-guided pericardial drainages had shorter lengths of stay and decreased healthcare costs compared with the surgical cohorts, with procedure costs averaging $2,200 and $54,000 respectively.
Conclusions
CT-guided pericardial drainage is a safer cost effective treatment of symptomatic pericardial effusions compared with traditional surgical techniques.
Final ID
516
Type
Original Scientific Research-Poster Only
Authors
C Greben1, D Leon2, S Berry-Tony3
Institutions
1North Shore-LIJ Health System, Manhasset, NY, 2Hofstra Northwell School of Medicine, Hempstead, NY, 3North Shore- LIJ Health System, Manhasset, NY
Purpose
Several surgical and non-surgical techniques may be employed to treat symptomatic pericardial effusion including operative subxyphoid pericardial drainage, the pleuropericardial 'window' procedure, ultrasound guided pericardiocentesis and CT-guided pericardial drain placement. Optimal treatment for pericardial effusions favors image guided techniques. The purpose of this retrospective study is to analyze the efficacy and complication risk and recurrence rate and added benefit of cost effectiveness of CT-guided pericardial drain placement.
Materials & Methods
Retrospective study to review the clinical history, drainage technique, fluid analysis, procedural morbidity and recurrence rate of 141 patients who received CT-guided pericardial drainage catheters over a 3-year period. Cost comparison with surgical techniques was performed to evaluate utilization of health care resources, and length of stay of both cohorts.
Results
All 141 CT-guided pericardial drain placements were performed successfully without intraprocedural complications. One patient had pericardial effusion recurrence that required repeat drainage. One patient experienced purulent recurrence of pericardial effusion secondary to drain dislodgement after the initial placement. The cytopathologic diagnostic yield was 100%. Cost comparison data demonstrates patients who underwent CT-guided pericardial drainages had shorter lengths of stay and decreased healthcare costs compared with the surgical cohorts, with procedure costs averaging $2,200 and $54,000 respectively.
Conclusions
CT-guided pericardial drainage is a safer cost effective treatment of symptomatic pericardial effusions compared with traditional surgical techniques.