Document Detail


Catheter-malposition-induced cardiac tamponade via contrast media leakage during computed tomography study.
MedLine Citation:
PMID:  16059760     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a rare case of a central venous catheter-malposition-induced life-threatening cardiac tamponade as a result of computed tomography (CT) with contrast enhancement in an infant with a ventricular septal defect and pulmonary atresia after a modified Blalock-Taussig shunt. The diagnosis was confirmed by chest radiographs and CT study with catheter perforation through the right atrial wall and extravasation of the contrast medium into the pericardium, leading to cardiac tamponade and subsequent circulatory collapse. Two hours after successful cardiopulmonary resuscitation, the patient gradually resumed normal hemodynamic status.
Authors:
Chi-Di Liang; Sheung-Fat Ko; Chien-Fu Huang; Shao Ju Chien; Mao Meng Tiao
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  28     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2005-11-07     Completed Date:  2006-03-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  822-4     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiology and Radiology, Chang Gung Children's Hospital, Kaohsiung, Taiwan. cdliang@adm.cgmh.org.tw
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MeSH Terms
Descriptor/Qualifier:
Blood Vessel Prosthesis Implantation / methods
Cardiac Tamponade / diagnosis,  etiology*,  therapy
Cardiopulmonary Resuscitation / methods
Catheterization, Central Venous / adverse effects*
Contrast Media / administration & dosage,  adverse effects*
Epinephrine / administration & dosage
Extravasation of Diagnostic and Therapeutic Materials / diagnosis,  etiology*
Heart Septal Defects, Ventricular / surgery
Humans
Infant
Iohexol / administration & dosage,  adverse effects
Male
Medical Errors / adverse effects
Pericardium / injuries*
Postoperative Complications / diagnosis,  etiology
Pulmonary Atresia / surgery
Rare Diseases
Tomography, X-Ray Computed / adverse effects*
Chemical
Reg. No./Substance:
0/Contrast Media; 51-43-4/Epinephrine; 66108-95-0/Iohexol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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