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Differential Impact of Constrictive Physiology after Pericardiocentesis in Malignancy Patients with Pericardial Effusion

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  • In-Jeong Cho
  • Hyuk-Jae Chang
  • Hyemoon Chung
  • Sang-Eun Lee
  • Chi Young Shim
  • Geu-Ru Hong
  • Jong-Won Ha
  • Namsik Chung

Abstract

Background: Echocardiographic signs of constrictive physiology (CP) after pericardiocentesis are frequently observed in malignancy patients. The purpose of the current study was to explore whether features of CP after pericardiocentesis have prognostic impact in malignancy patients with pericardial effusion (PE). Methods: We retrospectively reviewed 467 consecutive patients who underwent pericardiocentesis at our institution from January 2006 to May 2014. Among them, 205 patients with advanced malignancy who underwent comprehensive echocardiography after the procedure comprised the study population. Co-primary end points were all-cause mortality (ACM) and repeated drainage (RD) for PE. Patients were divided into four subgroups according to cytologic result for malignant cells and CP (positive cytology with negative CP, both positive, both negative, and negative cytology with positive CP). Results: CP after pericardiocentesis was present in 106 patients (50%) at median 4 days after the procedure. During median follow-up of 208 days, ACM and RD occurred in 162 patients (79%) and 29 patients (14%), respectively. Cox regression analysis revealed that independent predictors for ACM were male gender and positive cytology (all, p

Suggested Citation

  • In-Jeong Cho & Hyuk-Jae Chang & Hyemoon Chung & Sang-Eun Lee & Chi Young Shim & Geu-Ru Hong & Jong-Won Ha & Namsik Chung, 2015. "Differential Impact of Constrictive Physiology after Pericardiocentesis in Malignancy Patients with Pericardial Effusion," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-14, December.
    • Handle: RePEc:plo:pone00:0145461
    DOI: 10.1371/journal.pone.0145461
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