Document Detail

A novel application of contrast echocardiography to exclude active coronary perforation bleeding in patients with pericardial effusion.
MedLine Citation:
PMID:  22815243     Owner:  NLM     Status:  Publisher    
Management of hemodynamically significant cardiac tamponade will most often require pericardial drainage. In the absence of hemodynamic evidence of tamponade, however, management of a pericardial effusion represents a clinical dilemma. Pericardial leakage of blood may be transient, and extravasation may have stopped by time of echocardiographic assessment. Besides its usefulness in ischemic heart disease, contrast echocardiography might be applied in the context of coronary perforations. We report the use of contrast echocardiography in 4 cases of coronary perforation without overt signs of cardiac tamponnade as a tool to streamline decision making as to whether perform pericardiocentesis of not. Our series demonstrate the clinical utility and effectiveness of echocardiographic contrast imaging to confirm or exclude active bleeding into the pericardial space when not otherwise visible by conventional imaging measures. © 2012 Wiley Periodicals, Inc.
Rodrigo Bagur; Mathieu Bernier; David E Kandzari; Dimitri Karmpaliotis; Nicholas J Lembo; Stéphane Rinfret
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-19
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Institut universitaire de cardiologie et de pneumologie de Québec (Quebec Heart & Lung Institute) - Laval University, Quebec City, Quebec, Canada.
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