Percutaneous drainage of malignant pericardial effusion is an establis
hed alternative to surgical pericardiotomy and pericardiectomy. We rep
ort the placement of a pericardial drainage catheter under CT guidance
, with subsequent pericardial sclerosis. Previously described imaging
modalities (fluoroscopy and ultrasound) used for the guidance of drain
placement are compared and contrasted with our use of CT.