Using of new minimally invasive procedures in diagnostic, treatment and prevention of acute pericarditis

• Main Author: Григорий Николаевич Урсол
• Format: Article
• Language: English
• Published: PC Technology Center 2015-05-01
• Series: ScienceRise
• Subjects: pericardioscopy; pericarditis; puncture; pericardium; exudate; constrictions; diagnostic; treatment; micro drainage; pathognomonic treatment
• Online Access: http://journals.uran.ua/sciencerise/article/view/42961

<p>This study <a href="http://www.multitran.ru/c/m.exe?t=2053622_1_2&amp;s1=%E4%EE%EA%E0%E7%E0%F2%FC">proves satisfactorily</a> the effectiveness of using two new methods of minimally invasive procedures for possibility of accurate diagnosis, appropriative and intense medical treatment of acute pericarditis in long term period.</p><p><strong>Aim </strong>– presentation of two new methods of minimally invasive procedures, which are performed with pericardioscopy and are assigned for effective diagnostic and treatment of pericarditis: introducing of micro drainage into pericardium; Performing pericardioscopy with following drainage using pericardioscope without using large discission.</p><p><strong>Materials and methods. </strong>This study includes results of 571 patients with acute pericarditis diagnosed since 1990 till 2014. Due to the etiology of pericarditis all the patients were divided into six groups: Viral, Bacterial, Tuberculous, <a href="http://www.multitran.ru/c/m.exe?t=2741679_1_2&amp;s1=%E0%F3%F2%EE%F0%E5%E0%EA%F2%E8%E2%ED%FB%E9">Autologous-Reactive</a>, Uremic, Tumoral. Main group included patient with viral acute pericarditis. Study includes 339 males and 232 females. Male’s main group was with viral pericarditis, female’s – patients with <a href="http://www.multitran.ru/c/m.exe?t=2741679_1_2&amp;s1=%E0%F3%F2%EE%F0%E5%E0%EA%F2%E8%E2%ED%FB%E9">autologous-reactive</a> acute pericarditis.</p><p>In this study were used: assessment of clinical signs, ECG, chest X-Ray, echocardiogram, pericardium puncture, pericardiocentesis.</p><p><strong>Results. </strong>Results of using both methods are presented in clinical case, which illustrates opportunities of accurate diagnosis, appropriative and intense medical treatment of acute pericarditis. In 11-years follow-up patient has no clinically significant changes in chest organs, no exacerbations were diagnosed, thus, the effectiveness of proposed method for long-term period was proved.</p><p><strong>Conclusion. </strong>1. Using of the method «Introducing of micro drainage into pericardium», allows to determine diagnosis during 24 hours in 90% of all cases, to prevent complications related to acute pericarditis and in some ways to neutralize the acute condition of the disease.</p><p>2. In case when diagnosis is not verified in 48 hour another method is used: «Performing pericardioscopy with following drainage using pericardioscope without using large discission». This minimally invasive procedure allows performing qualitative video review; perform biopsy, and make appropriate analysis of material received, which will inform about injury level of pericardium to start accurate pathognomonic treatment.</p><p>3. Using of both methods reduces hospitalization, prevent serious constrictive complications in long-term period.</p><p>4. Accurate, starred in time treatment of acute process in pericardium prevent pericardium fibrosis – complete cure.</p><p>5. Only cardio therapeutic treatment is not effective for treatment of acute pericarditis, these patients have to be hospitalized and treated by thoracic surgeon or cardio surgeon</p>