title: Interventional Pericardiology.
abstract: The space that exists between the visceral and parietal pericardium has a small amount of fluid under physiologic conditions. The pericardial layers and this fluid in combination have a protective role and also offer fluidity of motion and shock absorbance. The pericardium and the fluid can often be involved in pathologies involving the myocardium or sometimes be independently involved in primary diseases of the pericardium with secondary hemodynamic effects. In physiologic and pathologic conditions, invasion of this space by surgical and percutaneous interventions can provide a unique and precious opportunity to enhance patient management in such situations from a diagnostic and therapeutic aspect. This field of "interventional pericardiology" is the focus of this chapter.
authors.affiliation: Section of Cardiac Electrophysiology and Pacing, Cleveland Clinic, Desk J2-2, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. bhargam@ccf.org.|Cleveland Clinic Lerner College of Medicine of the Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. bhargam@ccf.org.
authors.forename: Mandeep
authors.initials: M
authors.lastname: Bhargava
authors.affiliation: Section of Cardiac Electrophysiology and Pacing, Cleveland Clinic, Desk J2-2, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.|Cleveland Clinic Lerner College of Medicine of the Case Western Reserve University, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
authors.forename: Oussama M
authors.initials: OM
authors.lastname: Wazni
authors.affiliation: Section of Cardiac Electrophysiology and Pacing, Cleveland Clinic, Desk J2-2, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
authors.forename: Walid I
authors.initials: WI
authors.lastname: Saliba
mesh_terms: D009202:Cardiomyopathies / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D056149:Epicardial Mapping / Q000379:methods; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D010491:Pericardial Window Techniques; D020519:Pericardiocentesis / Q000379:methods*; D010496:Pericardium / Q000033:anatomy & histology; D015641:Radiography, Interventional / Q000379:methods; D018084:Ultrasonography, Interventional / Q000379:methods
keywords: Epicardial ablation; Pericardial access; Pericardiocentesis