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
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container_issue 1
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container_title Catheterization and cardiovascular interventions
container_volume 75
creator Al Shammeri, Owayed M.
Crowell, Richard
Stewart, Keir
Fort, Stephen
description 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.
doi_str_mv 10.1002/ccd.22187
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subjects 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
title Failed pericardiocentesis for acute cardiac tamponade: Two cases associated with bivalirudin administration during PCI
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