<prompt> Preferred Approach for Pericardiocentesis is:Sub-xiphoidLeft ParasternalRight ParasternalApical  <response>: Answer is A Sub-xiphoid Closed-needle pericardiocentesis the sub-xiphoid is the preferred approach for removal and drainage of a pericardial effusion. The sub-xiphoid approach is preferred, as one can aspirate fluid even in the case of small elliisions. This route is extra-pleural and avoids the coronary, pericardial, and internal mammary aeries. Approaches to Pericardiocentesis 1. Sub-xiphoid Approach Preferred Approach as this route is extra-pleural and avoids the risk to coronary, pericardial, and internal mammary aeries 2. Apical Approach Used when the sub-xiphoid route is not successful or in patients with marked pulmonary hypeension 3. Parasternal Approach Left Fifth Intercostal Space andor Right Fifth Intercostal Space may be utilized; Left Fifth Intercostal Space is utilized more commonly 