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Single center experience of pediatric percutaneous balloon pericardiotomy

Published online by Cambridge University Press:  03 November 2020

Christopher Herron Open the ORCID record for Christopher Herron [Opens in a new window] ,
Thomas J. Forbes  and
Daisuke Kobayashi
Christopher Herron
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Detroit, MI, USA Department of Pediatrics, Wayne State University School of Medicine, Mount Pleasant, MI, USA
Thomas J. Forbes
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Detroit, MI, USA Department of Pediatrics, Wayne State University School of Medicine, Mount Pleasant, MI, USA
Daisuke Kobayashi*
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Detroit, MI, USA Department of Pediatrics, Wayne State University School of Medicine, Mount Pleasant, MI, USA
*
Author for correspondence: Daisuke Kobayashi, Division of Cardiology, Children’s Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI48201-2119, USA. Tel: +1 (313) 745-5481; Fax: +1 (313) 993-0894. E-mail: dkobayas@dmc.org
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Abstract

Background:

Percutaneous balloon pericardiotomy is a percutaneous procedure that creates a window in the parietal pericardium by balloon dilation. The use of percutaneous balloon pericardiotomy has not been reported well in children.

Objectives:

The objective of this study was to describe the single centre experience of percutaneous balloon pericardiotomy in children.

Methods:

This was a retrospective study to describe all the children aged <20 years undergoing percutaneous balloon pericardiotomy during an 18-year period (2001–2019). Patient characteristics, technical and ultimate procedural success, and repeat interventions were collected.

Results:

A total of 13 percutaneous balloon pericardiotomy’s were performed in 11 children at the median age of 12 years (range 1.8–19). The etiologies of pericardial effusion were post-pericardiotomy syndrome (n = 4), restrictive cardiomyopathy (n = 1), autoimmune diseases (n = 3), malignancy (n = 2), and idiopathic (n = 1). Two patients received two percutaneous balloon pericardiotomy. The technical success of percutaneous balloon pericardiotomy was 100% with no acute adverse events (balloon rupture or local bleeding). Five (45%) required re-intervention and ultimately three required a surgical pericardial window 6 to 35 days after the percutaneous balloon pericardiotomy. As a result, ultimate procedural success rate was 73% (8/11).

Conclusion:

Percutaneous balloon pericardiotomy was performed safely with high technical success in children. Percutaneous balloon pericardiotomy may be considered for recurrent and persistent pericardial effusion, before considering a surgical pericardial window.

Keywords

Percutaneous balloon pericardiotomypericardial effusionpaediatric
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 2 , February 2021 , pp. 212 - 215
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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