Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures: The Mayo Clinic experience

The purpose of this study was to determine the safety and efficacy of rescue echocardiographically guided pericardiocentesis as a primary strategy for the management of acute cardiac perforation and tamponade complicating catheter-based procedures. In this era of interventional catheterization, acut...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 1998-11, Vol.32 (5), p.1345-1350
Main Authors: TSANG, T. S. M, FREEMAN, W. K, BARNES, M. E, REEDER, G. S, PACKER, D. L, SEWARD, J. B
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiac Catheterization - adverse effects
Cardiac Tamponade - epidemiology
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Child
Child, Preschool
Diseases of the cardiovascular system
Echocardiography
Emergency Treatment - methods
Female
Follow-Up Studies
Heart Injuries - epidemiology
Heart Injuries - etiology
Heart Injuries - surgery
Humans
Incidence
Infant
Infant, Newborn
Male
Medical sciences
Middle Aged
Paracentesis - methods
Pericardial Effusion - complications
Pericardial Effusion - epidemiology
Pericardial Effusion - surgery
Pericardium - diagnostic imaging
Pericardium - surgery
Prospective Studies
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Safety
Survival Rate
Treatment Outcome
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Summary:The purpose of this study was to determine the safety and efficacy of rescue echocardiographically guided pericardiocentesis as a primary strategy for the management of acute cardiac perforation and tamponade complicating catheter-based procedures. In this era of interventional catheterization, acute tamponade from cardiac perforation as a complication is encountered more frequently. The safety and efficacy of echocardiographically guided pericardiocentesis in this life-threatening situation and outcomes of patients managed by this technique are unknown. Of the 960 consecutive echocardiographically guided pericardiocenteses performed at the Mayo Clinic (1979 to 1997), 92 (9.6%) were undertaken in 88 patients with acute tamponade that developed in association with a diagnostic or interventional catheter-based procedure. Most of the patients were hemodynamically unstable at the time of pericardiocentesis, with clinically overt tamponade in 40% and frank hemodynamic collapse (systolic blood pressure
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(98)00390-8