"V obdob\u00ED prosinec 2004 - listopad 2007 bylo na na\u0161em pracovi\u0161ti operov\u00E1no 2 232 nemocn\u00FDch. Echokardiografi\u00ED kontrolovan\u00E1 evakua\u010Dn\u00ED punkce perikardi\u00E1ln\u00EDho v\u00FDpotku byla provedena u 48 (2,2 %) z nich; signifikantn\u011B \u010Dast\u011Bji byla indikov\u00E1na po operac\u00EDch chlopenn\u00EDch vad (7,1 %), v\u00FDkonech na ko\u0159eni aorty (8,2 %) a chirurgick\u00E9 ablaci fibrilace s\u00EDn\u00ED (6,6 %), tj. po v\u00FDkonech s nutnost\u00ED poopera\u010Dn\u00ED antikoagula\u010Dn\u00ED l\u00E9\u010Dby. Nezaznamenali jsme \u017E\u00E1dn\u00E9 komplikace perikardiocent\u00E9zy. \u010Casov\u00FD odstup od operace \u010Dinil 6\u201380 dn\u00ED (medi\u00E1n 13 dn\u00ED). Jednor\u00E1zov\u011B z\u00EDsk\u00E1no 50\u20131 550 ml v\u00FDpotku (medi\u00E1n 450 ml). U 45 nemocn\u00FDch (93,8 %) byl perikardi\u00E1ln\u00ED kat\u00E9tr ponech\u00E1n na aktivn\u00EDm s\u00E1n\u00ED, doba dren\u00E1\u017Ee 1\u20136 dn\u00ED (medi\u00E1n 1 den), odpad z dr\u00E9nu 20\u20132 950 ml (medi\u00E1n 145 ml, pr\u016Fm\u011Br 328 ml). K recidiv\u011B v\u00FDznamn\u00E9ho v\u00FDpotku s nutnost\u00ED opakov\u00E1n\u00ED perikardi\u00E1ln\u00ED punkce do\u0161lo u 4 (8,3 %) nemocn\u00FDch. Proveden\u00ED dren\u00E1\u017Ee perikardi\u00E1ln\u00ED dutiny bylo spojeno s ni\u017E\u0161\u00ED rekurenc\u00ED v\u00FDznamn\u00E9ho v\u00FDpotku." . "Perikardiocent\u00E9za po srde\u010Dn\u00ED operaci - na\u0161e zku\u0161enosti"@cs . . . "386272" . . . . "Perikardiocent\u00E9za po srde\u010Dn\u00ED operaci - na\u0161e zku\u0161enosti" . . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . "CZ - \u010Cesk\u00E1 republika" . . . "Pericardiocentesis after cardiac surgery \u2013 our experience"@en . "Br\u00E1t, Radim" . . . "Kolek, Martin" . "4" . . "Perikardiocent\u00E9za po srde\u010Dn\u00ED operaci - na\u0161e zku\u0161enosti" . . "Perikardiocent\u00E9za po srde\u010Dn\u00ED operaci - na\u0161e zku\u0161enosti"@cs . "54" . . "[86A5677C4062]" . "7"^^ . "pericardial effusion; cardiac tamponade; pericardiocentesis; echocardiography; cardiac surgery"@en . "Pericardiocentesis after cardiac surgery \u2013 our experience"@en . "Between December 2005 and November 2007, 2,232 patients underwent heart surgery in our centre. Echo-guided pericardiocentesis was performed at 48 (2.2%) of them; significantly more frequently after valve surgery (7.1%), aortic root surgery (8.2%) and surgical ablation of atrial fibrillation (6.6%), i.e. in patients with postoperative anticoagulation. No complication was registered. The time elapsed between surgery and puncture was in range 6 to 80 days (median, 13 days). The median volume initially aspirated was 450 ml (range, 50 to 1,550 ml). Forty five patients (93.8%) had extended catheter drainage with active suction, the median duration was 1 day (range, 1 to 6 days), the mean volume of catheter drainage was 328 ml (median, 145 ml; range, 20 to 2,950 ml). Four patients (8.3%) required repeated pericardiocenteses because of recurrence of significant pericardial effusion. Extended catheter drainage was associated with a significant reduction of recurrence of significant pericardial"@en . "2"^^ . "V" . . . "2"^^ . "V obdob\u00ED prosinec 2004 - listopad 2007 bylo na na\u0161em pracovi\u0161ti operov\u00E1no 2 232 nemocn\u00FDch. Echokardiografi\u00ED kontrolovan\u00E1 evakua\u010Dn\u00ED punkce perikardi\u00E1ln\u00EDho v\u00FDpotku byla provedena u 48 (2,2 %) z nich; signifikantn\u011B \u010Dast\u011Bji byla indikov\u00E1na po operac\u00EDch chlopenn\u00EDch vad (7,1 %), v\u00FDkonech na ko\u0159eni aorty (8,2 %) a chirurgick\u00E9 ablaci fibrilace s\u00EDn\u00ED (6,6 %), tj. po v\u00FDkonech s nutnost\u00ED poopera\u010Dn\u00ED antikoagula\u010Dn\u00ED l\u00E9\u010Dby. Nezaznamenali jsme \u017E\u00E1dn\u00E9 komplikace perikardiocent\u00E9zy. \u010Casov\u00FD odstup od operace \u010Dinil 6\u201380 dn\u00ED (medi\u00E1n 13 dn\u00ED). Jednor\u00E1zov\u011B z\u00EDsk\u00E1no 50\u20131 550 ml v\u00FDpotku (medi\u00E1n 450 ml). U 45 nemocn\u00FDch (93,8 %) byl perikardi\u00E1ln\u00ED kat\u00E9tr ponech\u00E1n na aktivn\u00EDm s\u00E1n\u00ED, doba dren\u00E1\u017Ee 1\u20136 dn\u00ED (medi\u00E1n 1 den), odpad z dr\u00E9nu 20\u20132 950 ml (medi\u00E1n 145 ml, pr\u016Fm\u011Br 328 ml). K recidiv\u011B v\u00FDznamn\u00E9ho v\u00FDpotku s nutnost\u00ED opakov\u00E1n\u00ED perikardi\u00E1ln\u00ED punkce do\u0161lo u 4 (8,3 %) nemocn\u00FDch. Proveden\u00ED dren\u00E1\u017Ee perikardi\u00E1ln\u00ED dutiny bylo spojeno s ni\u017E\u0161\u00ED rekurenc\u00ED v\u00FDznamn\u00E9ho v\u00FDpotku."@cs . . "0042-773X" . "RIV/00843989:_____/08:00015381!RIV09-MZ0-00843989" . "RIV/00843989:_____/08:00015381" . .