Outcomes of primary and secondary treatment of pericardial effusion in patients with malignancy.

Abstract:

OBJECTIVE:To evaluate the treatment strategies for primary and secondary management of malignancy-related pericardial effusions. PATIENTS AND METHODS:Retrospective review of Mayo Clinic Rochester charts and external records of patients with pericardial effusion associated with malignant disease who required treatment between February 1979 and June 1998 was performed. Telephone interviews with patients, their families, or their physicians were conducted to determine the outcomes of treatment. Recurrence of pericardial effusion and survival were the main outcome measures. RESULTS:Of 1002 consecutive pericardiocenteses performed during the period under study, 341 were performed in 275 patients with confirmed malignant disease. Patients were followed up for a minimum of 190 days, unless death occurred first. Of 275 patients, recurrence of pericardial effusion or persistent drainage necessitated secondary management in 59 (43 of 118 simple pericardiocenteses, 16 of 139 pericardiocenteses with extended catheter drainage, and 0 of 18 pericardial surgery following temporizing pericardiocentesis). Recurrence was strongly and independently predicted by absence of pericardial catheter for extended drainage, large effusion size, and emergency procedures. Recurrence after secondary management occurred in 12 patients: 11 underwent successful pericardiocentesis with extended catheter drainage, and 1 had pericardial surgery. Median survival of the cohort was 135 days, and 26% survived the first year after diagnosis of pericardial effusion. Male sex, positive fluid cytology for malignant cells, lung cancer, and clinical presentation of tamponade or hemodynamic collapse were independently associated with poor survival. CONCLUSION:Echocardiographically guided pericardiocentesis with extended catheter drainage appears to be safe and effective for both primary and secondary management of pericardial effusion in patients with malignancy.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Tsang TS,Seward JB,Barnes ME,Bailey KR,Sinak LJ,Urban LH,Hayes SN

doi

10.4065/75.3.248

keywords:

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

248-53

issue

3

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)65028-3

journal_volume

75

pub_type

杂志文章
  • Effects of a medical intensivist on patient care in a community teaching hospital.

    abstract:OBJECTIVE:To determine the effect of adding a trained intensivist on patient care and educational outcomes in a community teaching hospital. MATERIAL AND METHODS:We retrospectively reviewed outcomes for patients admitted to the medical intensive-care unit (MICU) of a 270-bed community teaching hospital between July 19...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/72.5.391

    authors: Manthous CA,Amoateng-Adjepong Y,al-Kharrat T,Jacob B,Alnuaimat HM,Chatila W,Hall JB

    更新日期:1997-05-01 00:00:00

  • The metabolic syndrome: concepts and controversy.

    abstract::The metabolic syndrome is an insulin-resistant state characterized by a cluster of cardiovascular risk factors, including various combinations of abdominal obesity, glucose intolerance, hypertension, and atherogenic dyslipidemia (elevated triglyceride values, low high-density lipoprotein cholesterol levels, and small ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/81.12.1615

    authors: Johnson LW,Weinstock RS

    更新日期:2006-12-01 00:00:00

  • Eosinophilia associated with perimyositis and pneumonitis.

    abstract::We describe a patient who had severe myalgias, bronchial asthma, pulmonary infiltrates, and eosinophilia. The findings on physical examination and the erythrocyte sedimentation rate were normal; there was no elevation of the serum creatine kinase. Muscle biopsy demonstrated an inflammatory exudate that contained eosin...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62663-9

    authors: Lakhanpal S,Duffy J,Engel AG

    更新日期:1988-01-01 00:00:00

  • Diagnostic role of serum CA 19-9 for cholangiocarcinoma in patients with primary sclerosing cholangitis.

    abstract::Primary sclerosing cholangitis (PSC) predisposes to the development of cholangiocarcinoma, a usually fatal complication that is difficult to diagnose. Serum concentrations of CA 19-9, a tumor-associated antigen, are frequently increased in patients with only cholangiocarcinoma. The aim of this study was to assess the ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60696-x

    authors: Nichols JC,Gores GJ,LaRusso NF,Wiesner RH,Nagorney DM,Ritts RE Jr

    更新日期:1993-09-01 00:00:00

  • Matched comparison of radical nephrectomy vs nephron-sparing surgery in patients with unilateral renal cell carcinoma and a normal contralateral kidney.

    abstract:OBJECTIVE:To report the long-term follow-up of a matched comparison of radical nephrectomy (RN) and nephron-sparing surgery (NSS) in patients with single unilateral renal cell carcinoma (RCC) and a normal contralateral kidney. PATIENTS AND METHODS:Between August 1966 and March 1999, 1492 and 189 patients with unilater...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/75.12.1236

    authors: Lau WK,Blute ML,Weaver AL,Torres VE,Zincke H

    更新日期:2000-12-01 00:00:00

  • Infective endocarditis caused by Actinobacillus actinomycetemcomitans: report of four cases.

    abstract::Four patients with infective endocarditis caused by Actinobacillus actinomycetemcomitans are reported. The clinical course was characterized by chronicity. Three of the four patients were treated with combined penicillin and aminoglycoside therapy on an empiric basis; the fourth patient was given ampicillin alone for ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Geraci JE,Wilson WR,Washington JA 2nd

    更新日期:1980-07-01 00:00:00

  • TNF-Alpha Inhibition and Other Immunosuppressants in the Development of Uveal and Cutaneous Melanoma.

    abstract:OBJECTIVE:To investigate an association between tumor necrosis factors-alpha (TNFα) inhibitors or other immunosuppressants and the development of uveal and cutaneous melanoma. PATIENTS AND METHODS:We performed a retrospective incidence and case-control analysis of patients in Olmsted County, MN, who were diagnosed wit...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2018.11.033

    authors: Damento GM,Pulido JS,Abbott BA,Hodge DO,Dalvin LA

    更新日期:2019-07-01 00:00:00

  • The Natural History of Nonobstructive Hypertrophic Cardiomyopathy.

    abstract:OBJECTIVE:To describe the survival of a large nonobstructive hypertrophic cardiomyopathy (NO-HCM) cohort and to identify risk factors for increased mortality in this population. PATIENTS AND METHODS:Patients were identified from the Mayo Clinic HCM database from January 1, 1975, through November 30, 2006, for this ret...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2016.01.002

    authors: Hebl VB,Miranda WR,Ong KC,Hodge DO,Bos JM,Gentile F,Klarich KW,Nishimura RA,Ackerman MJ,Gersh BJ,Ommen SR,Geske JB

    更新日期:2016-03-01 00:00:00

  • Leuconostoc bacteremia in an infant with short-gut syndrome: case report and literature review.

    abstract::In this article, we report a case of Leuconostoc bacteremia in a 7-month-old infant who had short-gut syndrome after a gastroschisis repair and who was dependent on total parenteral nutrition through a central venous catheter. The organism was initially misidentified as viridans group streptococcus. Detection of vanco...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/71.12.1171

    authors: Dhodapkar KM,Henry NK

    更新日期:1996-12-01 00:00:00

  • Breast cancer in DES-exposed mothers: absence of association.

    abstract::Reports in the popular press have suggested that exposure to diethylstilbestrol (DES) is followed by an abnormally high incidence of breast cancer. The reports were based on a reanalysis of data not considered ominous originally; and both data and analyses are summarized here. In addition, new data are presented on mo...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Brian DD,Tilley BC,Labarthe DR,O'Fallon WM,Noller KL,Kurland LT

    更新日期:1980-02-01 00:00:00

  • Malignant potential of the cryptorchid testis.

    abstract::A follow-up study of 224 male patients from Rochester, Minnesota, diagnosed with cryptorchidism during the period from 1935 through 1974 was conducted to assess the frequency of subsequent testicular neoplasms. Age-specific rates for testicular neoplasm in this community were used to estimate an expected number for co...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60660-0

    authors: Benson RC Jr,Beard CM,Kelalis PP,Kurland LT

    更新日期:1991-04-01 00:00:00

  • Cardiovascular responses to immersion in a hot tub in comparison with exercise in male subjects with coronary artery disease.

    abstract::In order to test the safety of hot tub use for persons with heart disease, 15 men with clinically stable coronary artery disease underwent 15 minutes of immersion in a hot tube at 40 degrees C. On another day, they exercised on a cycle ergometer for 15 minutes; target heart rate was determined by standard methods. Tym...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0025-6196(12)60014-7

    authors: Allison TG,Miller TD,Squires RW,Gau GT

    更新日期:1993-01-01 00:00:00

  • Preoperative assessment of cardiac patients undergoing noncardiac surgical procedures.

    abstract::A careful clinical history and physical examination are the most important components of the preoperative assessment of the cardiac patient who is to undergo a noncardiac surgical procedure. From these factors and the nature of the surgical procedure planned, a reasonable estimate of potential cardiac risk can be form...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)64980-5

    authors: Freeman WK,Gibbons RJ,Shub C

    更新日期:1989-09-01 00:00:00

  • The effect of adjuvant perfusion techniques on the incidence of paraplegia after repair of traumatic thoracic aortic transections.

    abstract:OBJECTIVE:To analyze the effect of adjuvant perfusion techniques of the distal aorta on the outcome of traumatic thoracic aortic transections. PATIENTS AND METHODS:From 1973 to 2004, 72 patients (mean age, 39 years) with thoracic aortic transections arrived alive at the emergency department. Nineteen patients arrived ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/81.5.625

    authors: Crestanello JA,Zehr KJ,Mullany CJ,Orszulak TA,Dearani JA,Puga FJ,Sundt TM 3rd,McGregor CG,Daly RC,Schaff HV

    更新日期:2006-05-01 00:00:00

  • Association Between Caffeine Intake and All-Cause and Cause-Specific Mortality: A Population-Based Prospective Cohort Study.

    abstract:OBJECTIVE:To assess whether caffeine intake is associated with all-cause and cause-specific mortality. PATIENTS AND METHODS:We conducted a prospective cohort study using data from the National Health and Nutrition Examination Survey 1999-2010. Cox proportional hazards models were used to compare the multivariate-adjus...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2017.03.010

    authors: Tsujimoto T,Kajio H,Sugiyama T

    更新日期:2017-08-01 00:00:00

  • Effect of antihypertensive agents on the development of type 2 diabetes mellitus.

    abstract::People with hypertension have a high prevalence of insulin resistance and are at relatively high risk of developing type 2 diabetes mellitus. It is becoming increasingly evident that antihypertensive agents have disparate metabolic effects. For example, recent clinical trials indicate that agents that interrupt the re...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/81.6.796

    authors: Stump CS,Hamilton MT,Sowers JR

    更新日期:2006-06-01 00:00:00

  • Primary signet ring cell carcinoma of the prostate.

    abstract::Nine patients treated with primary signet ring cell carcinoma of the prostate were identified among 29,783 cases of prostate cancer evaluated at Mayo Clinic from January 15, 1970, until January 2, 2009. A PubMed search of the English-language literature published from January 1, 1980, to January 1, 2010, was then perf...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/mcp.2010.0463

    authors: Warner JN,Nakamura LY,Pacelli A,Humphreys MR,Castle EP

    更新日期:2010-12-01 00:00:00

  • Left ventricular outflow tract obstruction related to a valve prosthesis: case caused by a low-profile mitral prosthesis.

    abstract::Mechanical and bioprosthetic mitral prostheses may have many potential complications. In patients with isolated mitral stenosis and a small left ventricular cavity, low-profile prostheses are recommended to avoid myocardial impingement that can result from a high-profile valve and lead to possible left ventricular inf...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60217-1

    authors: Currie PJ,Seward JB,Lam JB,Gersh BJ,Pluth JR

    更新日期:1985-03-01 00:00:00

  • Marked Up-Regulation of ACE2 in Hearts of Patients With Obstructive Hypertrophic Cardiomyopathy: Implications for SARS-CoV-2-Mediated COVID-19.

    abstract:OBJECTIVE:To explore the transcriptomic differences between patients with hypertrophic cardiomyopathy (HCM) and controls. PATIENTS AND METHODS:RNA was extracted from cardiac tissue flash frozen at therapeutic surgical septal myectomy for 106 patients with HCM and 39 healthy donor hearts. Expression profiling of 37,846...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2020.04.028

    authors: Bos JM,Hebl VB,Oberg AL,Sun Z,Herman DS,Teekakirikul P,Seidman JG,Seidman CE,Dos Remedios CG,Maleszewski JJ,Schaff HV,Dearani JA,Noseworthy PA,Friedman PA,Ommen SR,Brozovich FV,Ackerman MJ

    更新日期:2020-07-01 00:00:00

  • Intermittent noninfarction Q waves: a finding suggestive of latent preexcitation.

    abstract:OBJECTIVE:To describe 3 patients who presented with chest pain and intermittent Q waves on the electrocardiogram (ECG) and were subsequently found to have latent preexcitation. PATIENTS AND METHODS:During a span of 8 years, 3 patients were evaluated because of atypical chest pain and pathologic Q waves in the inferior...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/78.7.840

    authors: Letts DP,Constantine JC,Littmann L

    更新日期:2003-07-01 00:00:00

  • Pilot evaluation of gabapentin for treating hot flashes.

    abstract:OBJECTIVE:To obtain pilot prospective data regarding the efficacy and tolerability of gabapentin for alleviating hot flashes. PATIENTS AND METHODS:This prospective single-arm clinical trial was conducted between July 26, 2001, and November 30, 2001. Patients underwent a baseline week and then 4 weeks of gabapentin tre...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章

    doi:10.4065/77.11.1159

    authors: Loprinzi L,Barton DL,Sloan JA,Zahasky KM,Smith DA,Pruthi S,Novotny PJ,Perez EA,Christensen BJ

    更新日期:2002-11-01 00:00:00

  • Effect of aspirin and antiplatelet drugs on the outcome of the fecal immunochemical test.

    abstract:OBJECTIVE:To evaluate the effect of aspirin and nonaspirin antiplatelet agents (NAAAs) on the performance of the fecal immunochemical test (FIT). PARTICIPANTS AND METHODS:We performed a post hoc analysis of results from a clinical trial that involved 28,696 asymptomatic average-risk men and women aged 50 to 69 years i...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.mayocp.2013.04.016

    authors: Bujanda L,Lanas Á,Quintero E,Castells A,Sarasqueta C,Cubiella J,Hernandez V,Morillas JD,Perez-Fernández T,Salas D,Andreu M,Carballo F,Bessa X,Cosme A,Jover R,COLONPREV Study Investigators.

    更新日期:2013-07-01 00:00:00

  • Toxic shock syndrome, a newly recognized disease entity. Report of 11 cases.

    abstract::The toxic shock syndrome has only recently been described. Eleven female patients aged 13 to 43 years (median 17) with toxic shock syndrome have been seen at the Mayo Clinic since August 1975. One patient died. Seven patients had one or more recurrences. As previously described, the syndrome was often life-threatening...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: McKenna UG,Meadows JA 3rd,Brewer NS,Wilson WR,Perrault J

    更新日期:1980-11-01 00:00:00

  • Stroke risk and outcomes in patients with traumatic brain injury: 2 nationwide studies.

    abstract:OBJECTIVE:To investigate whether patients with traumatic brain injury (TBI) have an increased risk of stroke or poststroke mortality. PARTICIPANTS AND METHODS:Using Taiwan's National Health Insurance Research Database, we conducted a retrospective cohort study of 30,165 patients with new TBI and 120,660 persons withou...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2013.09.019

    authors: Liao CC,Chou YC,Yeh CC,Hu CJ,Chiu WT,Chen TL

    更新日期:2014-02-01 00:00:00

  • Diagnostic value of albumin gene expression in liver tumors: case report and review of the literature.

    abstract::Management of a solitary liver mass necessitates reliable distinction between primary hepatocellular carcinoma and metastatic lesions. The histologic differentiation can be difficult even with special stains such as alpha-fetoprotein, cytokeratin, and carcinoembryonic antigen. Albumin is a specific product of hepatocy...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/73.6.533

    authors: Rajkumar SV,Richardson RL,Goellner JR

    更新日期:1998-06-01 00:00:00

  • New Developments in Clinical Bacteriology Laboratories.

    abstract::There are a number of changes underway in modern clinical bacteriology laboratories. Panel-based molecular diagnostics are now available for numerous applications, including, but not limited to, detection of bacteria and select antibacterial resistance markers in positive blood culture bottles, detection of acute gast...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2016.06.020

    authors: Patel R

    更新日期:2016-10-01 00:00:00

  • Idiopathic membranoproliferative (mesangiocapillary) glomerulonephritis: a clinicopathologic study.

    abstract::In 51 patients with type 1 and 9 patients with type 2 membranoproliferative glomerulonephritis, we found a male predominance in both types, a wide age range but with younger patients having predominantly type 2 disease, and clinical presentations that varied and included the nephrotic syndrome, an abnormal urinalysis ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Donadio JV Jr,Slack TK,Holley KE,Ilstrup DM

    更新日期:1979-03-01 00:00:00

  • Ideal cardiovascular health and mortality: Aerobics Center Longitudinal Study.

    abstract:OBJECTIVE:To analyze the relationship of ideal cardiovascular health to disease-specific death. PATIENTS AND METHODS:We used data from the Aerobics Center Longitudinal Study from October 9, 1987, to March 3, 1999, to estimate the prevalence of ideal cardiovascular health in 11,993 individuals (24.3% women) and to exam...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2012.07.015

    authors: Artero EG,España-Romero V,Lee DC,Sui X,Church TS,Lavie CJ,Blair SN

    更新日期:2012-10-01 00:00:00

  • Bronchogenic carcinoma: immunologic aspects.

    abstract::Evidence that host immunologic function may influence the behavior of lung cancer is accumulating. Non-small-cell lung cancers are heavily infiltrated by host lymphocytes. The fact that monoclonal antibodies have been developed against lung cancer cells implies that such cells express surface antigens and are therefor...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)60137-2

    authors: Pisani RJ

    更新日期:1993-04-01 00:00:00

  • Pancreatic pseudocyst that compressed the inferior vena cava and resulted in edema of the lower extremities.

    abstract::To our knowledge, edema of the lower extremities has not previously been reported as a sign of a pancreatic pseudocyst. In this case report, we describe a 66-year-old man in whom such a lesion compressed the inferior vena cava and caused pronounced leg swelling. After drainage of the pseudocyst, the edema did not recu...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)61125-2

    authors: Browman MW,Litin SC,Binkovitz LA,Mohr DN

    更新日期:1992-11-01 00:00:00