TY - JOUR
T1 - Single center experience of pediatric percutaneous balloon pericardiotomy
AU - Herron, Christopher
AU - Forbes, Thomas J.
AU - Kobayashi, Daisuke
N1 - Publisher Copyright:
© 2021 Cambridge University Press. All rights reserved.
PY - 2021/2
Y1 - 2021/2
N2 - 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.
AB - 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.
KW - Keywords: Percutaneous balloon pericardiotomy
KW - paediatric
KW - pericardial effusion
UR - http://www.scopus.com/inward/record.url?scp=85095984375&partnerID=8YFLogxK
U2 - 10.1017/S1047951120003686
DO - 10.1017/S1047951120003686
M3 - Article
C2 - 33140718
AN - SCOPUS:85095984375
SN - 1047-9511
VL - 31
SP - 212
EP - 215
JO - Cardiology in the young
JF - Cardiology in the young
IS - 2
ER -