Skip to main content

Pericardiosopy: Endoscopic Insight in Pericardial and Epicardial Pathology

  • Chapter
Interventional Pericardiology

Abstract

Percutaneous pericardioscopy is a diagnostic tool for the endoscopic visualization of lesions in both the epicardium and parietal pericardium. It enables safe and efficient targeted epicardial and parietal pericardial biopsy and provides the cardiologist with not only macroscopic but also microscopic evidence of pathologic changes [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Seferović PM, Ristić AD, Maksimović R. New trends in flexible percutaneous pericardioscopy. In: Seferović PM, Spodick DH, Maisch B (eds) Pericardiology: Contemporary answers to continuing challenges. Science, Belgrade, 2000, pp 155–170

    Google Scholar 

  2. Sinitsyn NP. Method of implantation of the cannula into the thorax for visual observation of coronary circulation. [?. П. ?иницын. ??т?дик? вживл?ния к?нюли в г?удную кл?тку для визу?льн?г? н?блюд?ния з? к???н??ны? к??в??б??щ?ни??] [Russian]. Biull Eksp Biol Med 1955; 39(3): 74–76

    PubMed  CAS  Google Scholar 

  3. Volkmann J. Pericardioscopy and contast imaging of the pericardium including essentials of its anatomy. [Perikardioskopie und Kontrastdarstellung des Herzbeutels mit anatomischen Grundlagen] [German]. Z Aerztliche Fortb 1957; 24: 1105–1108

    Google Scholar 

  4. Santos GH, Frater RWM. The subxiphoid approach in the treatment of pericardial effusion. Ann Thorac Surg 1977; 23: 467–470

    Article  PubMed  CAS  Google Scholar 

  5. Kondos G, Rich S, Levitsky S. Flexible fiberoptic pericardioscopy for the diagnosis of pericardial disease. J Am Coll Cardiol 1986; 7: 432–434

    Article  PubMed  CAS  Google Scholar 

  6. Kondos G, Rich S, Levitsky S. Flexible fiberoptic pericardioscopy. Chest 1986; 90(5): 787–788

    Article  PubMed  CAS  Google Scholar 

  7. Little AG, Ferguson MK. Pericardioscopy as adjunct to pericardial window. Chest 1986; 89(1): 53–55

    Article  PubMed  CAS  Google Scholar 

  8. Millaire A, Wurtz A, Brullard B, et al. Value of pericardioscopy in pericardial effusion. Arch Mal Coeur 1988; 81: 1071–1076

    PubMed  CAS  Google Scholar 

  9. Millaire A, Wurtz A, de Groote P, Saudemont A, Chambon A, Ducloux G. Malignant pericardial effusions: usefulness of pericardioscopy. Am Heart J 1992; 124(4): 1030–1034

    Article  PubMed  CAS  Google Scholar 

  10. Wurtz A, Chambon JP, Millaire A, Saudemont A, Ducloux G. Pericardioscopy: techniques, indications and results. Apropos of an experience with 70 cases. Ann Chir 1992; 46(2): 188–193

    PubMed  CAS  Google Scholar 

  11. Nugue O, Millaire A, Porte H, et al. Pericardioscopy in the etiologic diagnosis of pericardial effusion in 141 consecutive patients. Circulation 1996; 94(7): 1635–1641

    PubMed  CAS  Google Scholar 

  12. Porte HL, Janecki-Delebecq TJ, Finzi L, Metois DG, Millaire A, Wurtz AJ. Pericardoscopy for primary management of pericardial effusion in cancer patients. Eur J Cardiothorac Surg 1999; 16(3): 287–291

    Article  PubMed  CAS  Google Scholar 

  13. Maisch B, Drude L. Pericardioscopy – a new diagnostic tool in inflammatory diseases of the pericardium. Eur Heart J 1991; 12(Suppl. D): 2–6

    PubMed  Google Scholar 

  14. Maisch B, Drude L. Pericardioscopy – a new window to the heart in inflammatory cardiac diseases. Herz 1992; 17: 71–78

    PubMed  CAS  Google Scholar 

  15. Maisch B, Bethge C, Drude L, Hufnagel G, Herzum M, Schönian U. Pericardioscopy and epicardial biopsy – new diagnostic tools in pericardial and perimyocardial disease. Eur Heart J 1994; 15 (Suppl. C): 68–73

    PubMed  Google Scholar 

  16. Maisch B, Pankuweit S, Brilla C, et al. Intrapericardial treatment of inflammatory and neoplastic pericarditis guided by pericardioscopy and epicardial biopsy – results from a pilot study. Clin Cardiol 1999; 22 (Suppl 1): I17–22

    Article  PubMed  CAS  Google Scholar 

  17. Maisch B, Ristić AD, Rupp H, Spodick DH. Pericardial access using the PerDUCER and flexible percutaneous pericardioscopy. Am J Cardiol 2001; 88(11): 1323–1326

    Article  PubMed  CAS  Google Scholar 

  18. Maisch B, Ristić AD, Pankuweit S. Intrapericardial treatment of autoreactive pericardial effusion with triamcinolone: the way to avoid side effects of systemic corticosteroid therapy. Eur Heart J 2002; 23: 1503–1508

    Article  PubMed  CAS  Google Scholar 

  19. Maisch B, Ristić AD, Pankuweit S, Neubauer A, Moll R. Neoplastic pericardial effusion: efficacy and safety of intrapericardial treatment with cisplatin. Eur Heart J 2002; 23: 1625–1631

    Article  PubMed  CAS  Google Scholar 

  20. Maisch B, Karatolius K. New possibilities of diagnostics and therapy of pericarditis. Internist (Berl) 2008; 49(1): 17–26

    Article  CAS  Google Scholar 

  21. Seferović PM, Ristić AD, Petrović P, et al. Flexible video pericardioscopy and aimed pericardial biopsy: a new approach with improved visualization, sampling efficiency and safety. J Am Coll Cardiol 1998; (Suppl. A): 462A-463A

    Article  Google Scholar 

  22. Ristić AD. Clinical and hemodynamical assessment and management of pericardial diseases. Master Thesis, Belgrade University School of Medicine, Belgrade, 1998

    Google Scholar 

  23. Seferović PM, Ristić AD, Maksimović R, et al. Flexible percutaneous pericardioscopy: Inherent drawbacks and recent advances. Herz 2000; 25(8): 741–747

    Article  PubMed  Google Scholar 

  24. Seferović PM, Ristić AD, Maksimović R, Tatić V, Ostojić M, Kanjuh V. Diagnostic value of pericardial biopsy: improvement with extensive sampling enabled by pericardioscopy. Circulation 2003; 107: 978–983

    Article  PubMed  Google Scholar 

  25. Azorin J, Lamour A, Destable MD, Morere F, de Saint Florent G. Pericardioscopy: definition, value and results. Apropos of a case. Ann Chir 1988; 42(2): 137–140

    PubMed  CAS  Google Scholar 

  26. Mack MJ, Aronoff RJ, Acuff TE, Douthit MB, Bowman RT, Ryan WH. Present role of thoracoscopy in the diagnosis and treatment of diseases of the chest. Ann Thorac Surg 1992; 54(3): 403–408

    Article  PubMed  CAS  Google Scholar 

  27. Houdelette P, Dussarat G, Talard P, Stephanazzi J, Dumotier J, Espagne P. Subxiphoid pericardiostomy and pericardioscopy. Value and indications apropos of a series of 25 cases. J Chir Paris 1993; 130(1): 23–26

    PubMed  CAS  Google Scholar 

  28. Canto A, Guijarro R, Arnau A, et al. Thoracoscopic pericardial fenestration: diagnostic and therapeutic aspects. Thorax 1993; 48: 1178–1180

    Article  PubMed  CAS  Google Scholar 

  29. Hazelrigg SR, Mack MJ, Landreneau RJ, Acuff TE, Seifert PE, Auer JE. Thoracoscopic pericardiectomy for effusive pericardial disease. Ann Thorac Surg 1993; 56: 792–795

    Article  PubMed  CAS  Google Scholar 

  30. Gossot D, Mourey F, Roland E, Celerier M. Thoracoscopic approach of pericardial effusion. Presse Med 1994; 23(32): 1480–1482

    PubMed  CAS  Google Scholar 

  31. Liu HP, Chang CH, Lin PJ, Hsieh HC, Chang JP, Hsieh MJ. Thoracoscopic management of effusive pericardial disease: indications and technique. Ann Thorac Surg 1994; 58(6): 1695–1697

    Article  PubMed  CAS  Google Scholar 

  32. Furrer M, Hopi M, Ris HB. Isolated primary chylopericardium: treatment by thoracoscopic duct ligation and pericardial fenestration. J Thorac Cardiovasc Surg 1996; 112: 1120–1121

    Article  PubMed  CAS  Google Scholar 

  33. Nataf P, Cacoub P, Regan M, et al. Video-thoracoscopic pericardial window in the diagnosis and treatment of pericardial effusions. Am J Cardiol 1998; 82: 125–126

    Article  Google Scholar 

  34. Robles R, Pinero A, Lujan JA, et al. Thoracoscopic partial pericardiectomy in the diagnosis and management of pericardial effusion. Surg Endosc 1997; 11: 253–256

    Article  PubMed  CAS  Google Scholar 

  35. Geissbühler K, Leiser A, Fuhrer J, Ris HB. Video-assisted thorascopic pericardial fenestration for loculated or recurrent effusions. Eur J Cardiothorac Surg 1998; 14: 403–408

    Article  PubMed  Google Scholar 

  36. Ohno K, Utsumi T, Sasaki Y, Suzuki Y. Videopericardioscopy using endothoracic sonography for lung cancer staging. Ann Thorac Surg 2005; 79(5): 1780–1782

    Article  PubMed  Google Scholar 

  37. Karthik S, Milton R, Papagiannopoulos K. Simultaneous double video mediastinoscopy and video mediastinotomy – a step forward. Eur J Cardiothorac Surg 2005; 27(5): 920–922

    Article  PubMed  Google Scholar 

  38. Georghiou GP, Stamler A, Sharoni E, et al. Video-assisted thoracoscopic pericardial window for diagnosis and management of pericardial effusions. Ann Thorac Surg 2005; 80: 607–610

    Article  PubMed  Google Scholar 

  39. Pego-Fernandes PM, Mariani AW, Fernandez F, Ianni BM, Stolf NG, Jatene FB. The role of videopericardioscopy in evaluating indeterminate pericardial effusions. Heart Surg Forum 2008; 11(1): E62–65

    Article  PubMed  Google Scholar 

  40. Lidang-Jensen M, Johansen P. Immunocytochemical staining of serous effusions: an additional method in the routine cytology practice? Cytopathology 1994; 5(2): 93–103

    Article  PubMed  CAS  Google Scholar 

  41. Satoh T, Kojima M, Ohshima K. Demonstration of the Epstein-Barr genome by the polymerase chain reaction and in situ hybridisation in a patient with viral pericarditis. Br Heart J 1993; 69(6): 563–564

    Article  PubMed  CAS  Google Scholar 

  42. Cegielski JP, Devlin BH, Morris AJ, et al. Comparison of PCR, culture, and histopathology for diagnosis of tuberculous pericarditis. J Clin Microbiol 1997; 35(12): 3254–3257

    PubMed  CAS  Google Scholar 

  43. Lee JH, Lee CW, Lee SG, et al. Comparison of polymerase chain reaction with adenosine deaminase activity in pericardial fluid for the diagnosis of tuberculous pericarditis. Am J Med 2002; 113(6): 519–521

    Article  PubMed  CAS  Google Scholar 

  44. Szymanski M, Petric M, Saunders FE, Tellier R. Mycoplasma pneumoniae pericarditis demonstrated by polymerase chain reaction and electron microscopy. Clin Infect Dis 2002; 34(1): E16–17

    Article  PubMed  Google Scholar 

  45. Kolesov EV, Lukashev SN, Gaiduk AI. Pericardioscopic implantation of electrodes for myocardial electrocardiostimulation. Endosc Surg Allied Technol 1993; 1: 275–276

    PubMed  CAS  Google Scholar 

  46. Ready A, Black J, Lewis R, Roscoe B. Laparoscopic pericardial fenestration for malignant pericardial effusion. Lancet 1992; 339(8809): 1609

    Article  PubMed  CAS  Google Scholar 

  47. Frank MW, Prystowsky J, Soper W. Laparoscopic pericardiotomy, biopsy, and external drainage. J Laparoendosc Surg 1995; 5(2): 113–117

    Article  PubMed  CAS  Google Scholar 

  48. Picardi EJ, Bedingfield J, Statz M, Mullins R. Laparoscopic pericardial window. Surg Laparosc Endosc 1997; 7(4): 320–323

    Article  PubMed  CAS  Google Scholar 

  49. Pataki N, Szelig L, Horvath OP, Biki B, Molnar TF. Pericardial drainage using the transdiaphragmatic route: refinement of the laparoscopic technique. Surg Endosc 2002; 16(7): 1105

    Article  PubMed  CAS  Google Scholar 

  50. Staltari D, Diaz A, Capellino P, et al. Laparoscopic pericardioperitoneal window: an alternative approach in the treatment of recurrent pericardial effusion, in-hospital evolution and survival. Surg Laparosc Endosc Percutan Tech 2007; 17): 116–119

    Article  PubMed  Google Scholar 

  51. Wong KKS, Li AKC. Use of flexible choledochoscope for pericardioscopy and drainage of a loculated pericardial effusion. Thorax 1987; 42: 637–638

    Article  PubMed  CAS  Google Scholar 

  52. Urschel JD, Horan TA. Pericardioscopy and biopsy. Surg Endosc 1993; 7(2): 100–101

    Article  PubMed  CAS  Google Scholar 

  53. Rodriguez S, Lemmon CC, Burstein S, Ziskind AA. Feasibility and utility of percutaneous pericardial biopsy and pericardioscopy as an adjunct to balloon pericardiotomy or pericardiocentesis for the diagnosis and treatment of pericardial disease [abstract]. J Am Coll Cardiol 1994; 24(Suppl. A): P1175

    Google Scholar 

  54. Permanyer-Miralda G, Sagrista-Sauleda J, Soler-Soler J. Primary acute pericardial disease: a prospective series of 231 consecutive patients. Am J Cardiol 1985; 56: 623–630

    Article  PubMed  CAS  Google Scholar 

  55. Zayas R, Anguita M, Torres F, et al. Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol 1995; 75(5): 378–382

    Article  PubMed  CAS  Google Scholar 

  56. Mitsui K, Namiki K, Matsumoto H, Konno F, Yoshida R, Miura S. Thoracoscopic treatment for primary chylopericardium: report of a case. Surg Today 2005; 35: 76–79

    Article  PubMed  Google Scholar 

  57. Roberts WC. Pericardial heart disease: its morphologic features and its causes. Proc Bayl Univ Med Cent 2005; 18(1): 38–55

    PubMed  Google Scholar 

  58. Maisch B, Seferović PM, Ristić AD, et al. Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology. European Society of Cardiology Guidelines: Diagnosis and management of the pericardial diseases. Executive summary. Eur Heart J 2004; 25(7): 587–610

    Article  PubMed  Google Scholar 

  59. Ristic AD, Maisch B. New frontiers of percutaneous flexible pericardioscopy: Detection of neoplastic pericardial involvement by autofluorescence phenomena [abstract]. Eur Heart J 2000; 21(Suppl. August/September): P2223

    Google Scholar 

  60. Marcon NE. Is light-induced fluorescence better than the endoscopist’s eye? Can J Gastroenterol 1999; 13(5): 417–421

    PubMed  CAS  Google Scholar 

  61. Filbeck T, Roessler W, Knuechel R, Straub M, Kiel HJ, Wieland WF. Clinical results of the transurethreal resection and evaluation of superficial bladder carcinomas by means of fluorescence diagnosis after intravesical instillation of 5-aminolevulinic acid. J Endourol 1999; 13(2): 117–121

    Article  PubMed  CAS  Google Scholar 

  62. Lam S, Kennedy T, Unger M, et al. Localization of bronchial intraepithelial neoplastic lesions by fluorescence bronchoscopy. Chest 1998; 113(3): 696–702

    Article  PubMed  CAS  Google Scholar 

  63. Svanberg K, Wang I, Colleen S, et al. Clinical multi-colour fluorescence imaging of malignant tumours – initial experience. Acta Radiol 1998; 39(1): 2–9

    PubMed  CAS  Google Scholar 

  64. Häussinger K, Becker H, Stanzel F, et al. Autofluorescence bronchoscopy with white light bronchoscopy compared with white light bronchoscopy alone for the detection of precancerous lesions: a European randomised controlled multicentre trial. Thorax 2005; 60(6): 496–503

    Article  PubMed  Google Scholar 

  65. Zenati MA, Shalaby A, Eisenman G, Nosbisch J, McGarvey J, Ota T. Epicardial left ventricular mapping using subxiphoid video pericardioscopy. Ann Thorac Surg 2007; 84(6): 2106–2107

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Maisch, B., Ristić, A.D., Seferović, P.M., Tsang, T.S.M. (2011). Pericardiosopy: Endoscopic Insight in Pericardial and Epicardial Pathology. In: Interventional Pericardiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11335-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-11335-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11334-5

  • Online ISBN: 978-3-642-11335-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics