Understanding Percutaneous Balloon Pericardiotomy

Understanding Percutaneous Balloon Pericardiotomy

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Understanding Percutaneous Balloon Pericardiotomy

Percutaneous balloon pericardiotomy (PBP) is a procedure to drain extra fluid from the sac around the heart. It’s done with a long, thin tube (catheter) that has a small balloon attached. A small hole is made in the sac. Fluid is then drained out through the tube.

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Why percutaneous balloon pericardiotomy is done

A fibrous sac surrounds the heart. The sac is called the pericardium. It’s made of two thin layers with a small amount of fluid between them. The fluid helps cushion the two layers as they rub against each other when the heart beats. In some cases, extra fluid can build up between these two layers. This is called pericardial effusion. It can make it hard for the heart to pump normally.

Many types of health conditions can cause extra fluid to build up around the heart. These include:

  • Cancer

  • Infection

  • Autoimmune disease

  • Injury

The fluid buildup can cause shortness of breath and chest pain. Sometimes this can be treated with medicine. In other cases, the fluid is dangerous and needs to be drained right away.

PBP allows this fluid to drain. It can also help prevent future buildup of fluid. PBP is most often used to treat repeated pericardial effusion because of cancer. PBP has fewer risks than surgery. It may not be available at every surgery center.

How percutaneous balloon pericardiotomy is done

During PBP, the doctor puts a needle through the chest wall and into the tissue around the heart. Once the needle is inside the pericardium, the doctor puts a catheter in its place. The catheter has a small, deflated balloon at its tip. The doctor inflates the balloon again and again. This creates a small hole (window) in the pericardium. When the hole is large enough, the catheter and balloon are removed. The doctor puts a new catheter in place to finish draining the fluid. Once the extra fluid has drained out of the pericardium, your heart function will get better.

Risks of percutaneous balloon pericardiotomy

All procedures have some risks. The risks of PBP can include:

  • Puncturing of the heart

  • Too much bleeding, which might keep the heart from beating well

  • Air in the chest cavity (pneumothorax)

  • Infection

  • Fluid around the lungs (pleural effusion)

Your risks will vary depending on your overall health and other factors. Talk with your health care provider about which risks apply most to you.