| Transcardiac pericardiocentesis: an emergency life-saving technique for cardiac tamponade. | |
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MedLine Citation:
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PMID: 12950547 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Life-threatening cardiac tamponade is one of the most serious complications of catheter-based cardiac procedures. Although most cases can be effectively treated by percutaneous pericardiocentesis, urgent surgical drainage is required in unsuccessful cases. Rarely, in collapsed patients, the delay for surgery, however minimal, may be fatal. We describe a technique whereby life-saving pericardial drainage was rapidly achieved via a novel transcardiac approach, using the transseptal puncture kit, after failure of conventional pericardiocentesis in a patient with procedure-related acute tamponade who rapidly deteriorated and developed cardiorespiratory arrest within a few minutes. Although surgical repair for the perforation had to be performed subsequently, the patient survived without sequelae. This transcardiac approach may be an important and potentially life-saving adjunctive technique after failure of conventional pericardiocentesis in rapidly deteriorating or extremely unstable patients. |
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Authors:
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Li-Fern Hsu; Chroistophe Scavée; Pierre Jaïs; Mélèze Hocini; Michel Haïssaguerre |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiovascular electrophysiology Volume: 14 ISSN: 1045-3873 ISO Abbreviation: J. Cardiovasc. Electrophysiol. Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-02 Completed Date: 2004-03-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9010756 Medline TA: J Cardiovasc Electrophysiol Country: United States |
Other Details:
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Languages: eng Pagination: 1001-3 Citation Subset: IM |
Affiliation:
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Hôpital Cardiologique du Haut-Lévêque, Avenue de Magellan, 33604 Bordeaux-Pessac, France. hsulifern@mac.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiac Surgical Procedures Cardiac Tamponade / therapy* Drainage / methods Emergency Medical Services Humans Male Pericardiocentesis / methods* Punctures Retreatment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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