Pericardiocentesis should be performed for all patients with pericardial tamponade and where possible this should be with echocardiographic or fluoroscopic guidance. Surgical drainage and repair should be performed if percutaneous drainage is not successful in relieving the tamponade.IB
An echocardiography machine should be immediately available in all catheter laboratories in case of patient deterioration or arrest.IC
We recommend that a repeat echocardiogram is performed to reassess the pericardial space after drain insertion to monitor for recurrence of a haemopericardium.IIaC