TY - JOUR
T1 - Delayed and recurrent cardiac tamponade following distal coronary perforation of hydrphilic guidewires during coronary intervention
AU - De Marco, Federico
AU - Balcells, Jordi
AU - Lefèvre, Thierry
AU - Routledge, Helen
AU - Louvard, Yves
AU - Morice, Marie Claude
PY - 2008/5
Y1 - 2008/5
N2 - Coronary artery perforation is a rare complication of percutaneous coronary intervention, but can result in cardiac tamponade and is thus potentially life-threatening. It is well recognized that the use of hydrophilic wires during interventional procedures increases the risk of coronary perforation. We report two cases in which a particular looping configuration was suspected of causing vessel laceration with subsequent development of pericardial effusion and tamponade. In one case, tamponade occurred several days after the index procedure, mimicking acute myocardial infarction. In the second case, tamponade was successfully treated with immediate pericardial drainage, but tamponade recurred several days later.
AB - Coronary artery perforation is a rare complication of percutaneous coronary intervention, but can result in cardiac tamponade and is thus potentially life-threatening. It is well recognized that the use of hydrophilic wires during interventional procedures increases the risk of coronary perforation. We report two cases in which a particular looping configuration was suspected of causing vessel laceration with subsequent development of pericardial effusion and tamponade. In one case, tamponade occurred several days after the index procedure, mimicking acute myocardial infarction. In the second case, tamponade was successfully treated with immediate pericardial drainage, but tamponade recurred several days later.
KW - Complications
KW - Percutaneous coronary interventions
KW - Pericardial drainage
UR - http://www.scopus.com/inward/record.url?scp=43149098732&partnerID=8YFLogxK
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M3 - Article
C2 - 18460717
AN - SCOPUS:43149098732
VL - 20
JO - Journal of Invasive Cardiology
JF - Journal of Invasive Cardiology
SN - 1042-3931
IS - 5
ER -