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Safety and Efficacy of Awake Uniportal Video Assisted Thoracoscopic Modified Pericardial Window in Recurrent Pericardial Effusion at Mid Term Result

Not Applicable
Active, not recruiting
Conditions
Awake Thoracoscope
Pericardial Effusion
Pericadiopleural 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
Inclusion Criteria
  • patients who presented with recurrent massive pericardial effusion based on clinical, radiological evidence by Echo and C.T. chest
Exclusion Criteria
  • hemodynamically unstable patients

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
recurrence of pericardial effusionfollow 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 anasethiafrom 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
NameTimeMethod

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

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