Placement of the sutureless epicardial pacemaker lead by the subxiphoid
Thoracoscopic thymectomy using a subxiphoid
approach for anterior mediastinal tumors.
Learning process and improvement of point-of-care ultrasound technique for subxiphoid
visualization of the inferior vena cava.
It is an emergency ultrasound scan done in abdominal trauma with focus on four quadrants of abdomen- right upper quadrant, left upper quadrant, subxiphoid
region and pelvis.
The safest way of performing this procedure is by an emergency subxiphoid
percutaneous drainage under the guidance of an echocardiogram.
A 3.5 MHz convex probe was used to visualize subxiphoid
and gastroesophageal region (Figure 2(b)).
Attempt to drain the pericardial effusion with subxiphoid
pericardial window was terminated due to fusion of pericardium to the anterior surface of right ventricle.
Caption: FIGURE 2: Subxiphoid
window on bedside echocardiography demonstrating a large pericardial effusion (indicated by the *) associated with right ventricular (RV) and right atrial (RA) collapse (indicated by the arrows).
All these findings were considered consistent with an incipient cardiac tamponade and the patient was treated with an urgent echo-guided subxiphoid
pericardiocentesis (1500 mL of serohematic fluid), without complications.
He was treated with subxiphoid
pericardiostomy and had the pericardial drain removed the next day as he clinically improved.
Two other 5 mm working ports were placed under visualization in the left upper quadrant and subxiphoid
. An additional left upper quadrant 5 mm port was placed for liver retraction.
Caption: Figure 2: (a) Subxiphoid
long-axis view showing abnormal dilation of the right atrium and intact interatrial septum.