Failed pericardiocentesis for acute cardiac tamponade: Two cases associated with bivalirudin administration during PCI

Successful management of acute cardiac tamponade secondary to coronary artery perforation during percutaneous coronary intervention (PCI) includes sealing off the site of perforation and pericardiocentesis. We report two cases of acute cardiac tamponade during PCI associated with the administration...

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Veröffentlicht in:	Catheterization and cardiovascular interventions 2010-01, Vol.75 (1), p.114-116
Hauptverfasser:	Al Shammeri, Owayed M., Crowell, Richard, Stewart, Keir, Fort, Stephen
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Aged, 80 and over Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - instrumentation Anticoagulants - adverse effects Cardiac Tamponade - diagnostic imaging Cardiac Tamponade - etiology Cardiac Tamponade - therapy coagulation complications adult cath/intervention Coronary Artery Disease - therapy Coronary Vessels - injuries Female Heart Injuries - diagnostic imaging Heart Injuries - etiology Heart Injuries - therapy Hemostatic Techniques Hirudins - adverse effects Humans Male Middle Aged Peptide Fragments - adverse effects percutaneous coronary intervention perforation Pericardiectomy Pericardiocentesis Recombinant Proteins - adverse effects Stents Sternotomy Thrombosis - etiology Thrombosis - surgery Treatment Failure Ultrasonography Wounds, Penetrating - diagnostic imaging Wounds, Penetrating - etiology Wounds, Penetrating - therapy
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Zusammenfassung:	Successful management of acute cardiac tamponade secondary to coronary artery perforation during percutaneous coronary intervention (PCI) includes sealing off the site of perforation and pericardiocentesis. We report two cases of acute cardiac tamponade during PCI associated with the administration of bivalirudin, in which attempts at percutaneous pericardiocentesis failed, due to the present of thrombus, rather blood, in the pericardium. © 2009 Wiley‐Liss, Inc.
ISSN:	1522-1946 1522-726X
DOI:	10.1002/ccd.22187