Document Detail

Delayed and recurrent cardiac tamponade following distal coronary perforation of hydrphilic guidewires during coronary intervention.
MedLine Citation:
PMID:  18460717     Owner:  NLM     Status:  MEDLINE    
Coronary artery perforation is a rare complication of percutaneous coronary intervention, but can result in cardiac tamponade and is thus potentially life-threatening. It is well recognized that the use of hydrophilic wires during interventional procedures increases the risk of coronary perforation. We report two cases in which a particular looping configuration was suspected of causing vessel laceration with subsequent development of pericardial effusion and tamponade. In one case, tamponade occurred several days after the index procedure, mimicking acute myocardial infarction. In the second case, tamponade was successfully treated with immediate pericardial drainage, but tamponade recurred several days later.
Federico De Marco; Jordi Balcells; Thierry Lefèvre; Helen Routledge; Yves Louvard; Marie-Claude Morice
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-07     Completed Date:  2008-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E150-3     Citation Subset:  IM    
Cardiologie Interventionelle, Institut Cardiovasculaire Paris Sud (ICPS), Massy, France.
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MeSH Terms
Aged, 80 and over
Cardiac Tamponade / etiology*,  radiography*
Chest Pain / therapy*
Coronary Angiography
Coronary Vessels / injuries*
Heart Catheterization / adverse effects*
Treatment Outcome

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