Safety and Efficacy of Awake Uniportal Video Assisted Thoracoscopic Modified Pericardial Window in Recurrent Pericardial Effusion at Mid Term Result
- Conditions
- Awake ThoracoscopePericardial EffusionPericadiopleural Window
- Registration Number
- NCT06972836
- Lead Sponsor
- Zagazig University
- Brief Summary
this study compare two surgical techniues at the same time two methods of anathesia with assisstance of thoracoscope for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months
- Detailed Description
this study compare two thoracoscopic techniues awake modified pericardial window and pericardial window under general anasethia for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 36
- patients who presented with recurrent massive pericardial effusion based on clinical, radiological evidence by Echo and C.T. chest
- hemodynamically unstable patients
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method recurrence of pericardial effusion follow up each month at out patient clinic for 6 months from the date of surgery clinical (Beck's triad:Hypotension with a narrowed pulse pressure,jugular venous distension,distant heart sounds )and Echo findings suggestive of recurrence of pericardial effusion
Awake anasethia from the start till the end of the procedure about 45 min the patient is sedated -cooperative- hemodynamically stable by transthoracic spinal anasthsia at Cervical 5
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
cardiothorathic surgery department -faculty of medecine-zagazig univeristy- Egypt
🇪🇬Zagazig,,, El Sharkia, Egypt
Amr El Sayed Tawfek
🇪🇬Zagazig, El Sharkia, Egypt