Iatrogenic Pericarditis and Cardiac Tamponade Following Distal Wire Perforation: A Serial Case Report

Distal wire perforation is an infrequent percutaneous coronary intervention (PCI) complication, which may progress to one of the fearful conditions, cardiac tamponade, and rarely to iatrogenic pericarditis. We described 2 cases of acute pericarditis and cardiac tamponade following distal guidewire c...

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Bibliographic Details
Published in:Clinical Medicine Insights. Cardiology 2022, Vol.16, p.11795468221108211
Main Authors: Yahya, Achmad Fauzi, Sari, Minsy Titi, Saboe, Aninka
Format: Article
Language:English
Subjects:
Angioplasty
Cardiology
Case Report
Case reports
Iatrogenesis
Pericarditis
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Summary:Distal wire perforation is an infrequent percutaneous coronary intervention (PCI) complication, which may progress to one of the fearful conditions, cardiac tamponade, and rarely to iatrogenic pericarditis. We described 2 cases of acute pericarditis and cardiac tamponade following distal guidewire coronary artery perforation that was successfully managed with pericardiocentesis, anti-inflammatory agents, and meticulous follow-up. Although uncommon, acute traumatic pericarditis may also be considered as a complication after a complex PCI.
ISSN:1179-5468
1179-5468
DOI:10.1177/11795468221108211