Current medicines, herbs, and supplements that you take and whether you need to stop taking them before the procedure
Fasting before the procedure, such as avoiding food or drink after midnight the night before
Whether you need a ride to and from the procedure
Tests that will need to be done before the procedure
Medicine will help you relax. You will be awake during the procedure. The doctor will give local anesthesia—the area will be numbed.
Description of Procedure
A needle will be inserted into the chest. It will be slowly moved toward the heart. Ultrasound and possibly fluoroscopy will help guide the needle to the correct place. The needle will be passed into the pericardial sac.
Once in the pericardial sac, the fluid will be removed. The needle may be used, or a catheter tube may be inserted over the needle. After enough fluid is collected or drained, the needle or catheter will be removed. Pressure will be applied to the injection site for several minutes. This is done to stop the bleeding.
Sometimes the catheter is left in place. This will let draining continue over several hours or days.
How Long Will It Take?
About 20 to 60 minutes
Will It Hurt?
Some feel pain or pressure when the needle is inserted. Pain medicine can help.
Average Hospital Stay
The length of stay varies from one day to several days.
During your stay, the hospital staff will take steps to lower your risk of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to lower your risk of infection such as:
Washing your hands often and reminding visitors and staff to do the same
Reminding staff to wear gloves or masks
Not letting others touch your incisions
Call Your Doctor
Call your doctor if you are not getting better or you have:
Signs of infection, such as fever or chills
Excess bleeding, redness, swelling, or discharge from the insertion site
Pain that you cannot control with the medicines
Cough, problems breathing, or chest pain
Lasting nausea or vomiting
If you think you have an emergency, call for medical help right away.
Cardiac tamponade. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/injuries-poisoning/thoracic-trauma/cardiac-tamponade. Accessed September 9, 2021.
Heart inflammation. National Heart Lung and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health-topics/heart-inflammation. Accessed September 9, 2021.
Luis SA, Kane GC, et al. Overview of optimal techniques for pericardiocentesis in contemporary practice. Curr Cardiol Rep. 2020;22(8):60.
Pericardial effusion and tamponade. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/pericardial-effusion-and-tamponade. Accessed September 9, 2021.
Pericardiocentesis. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/diseases/17353-pericarditis Accessed September 9, 2021.
Pericardiocentesis. University of Rochester Medical Center website. Available at: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=135&contentid=361. Accessed September 9, 2021.
Last reviewed July 2021 by
EBSCO Medical Review Board
Nicole Meregian, PA
Last Updated: 9/9/2021
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