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Subxiphoid video-pericardioscopy

Friday, June 19, 2015

Submitted by

CTSNet Staff

Source

Source Name: MMCTS

Source URL: http://mmcts.oxfordjournals.org/content/2015/mmv009.abstract

Author(s)

Juan Carlos Trujillo-Reyes, Ramón Rami-Porta, Sergi Call Caja and Josep Belda-Sanchis

Through a subxiphoid approach, the pericardium is incised and a rigid (usually a video-mediastinoscope) or a flexible endoscope (flexible bronchoscope or flexible choledoscope) is inserted into the pericardial cavity. The inner surface of the parietal pericardium and the epicardium can be explored and biopsies can be taken under visual control. In addition, a subxiphoid pericardial window can be developed, and sclerosing agents instilled for pericardiodesis, if a malignant aetiology is confirmed.