Cardiac perforation with tamponade during cardiac catheterization

Gehl, Leonard; Iskandrian, Abdulmassih S.; Goel, Inder P.; Mintz, Gary S.; Kimbiris, Demetrios; Bemis, Charles E.; Mundth, Eldred D.; Segal, Bernard L.

doi:10.1002/ccd.1810080314

Cited by 13 publications

(7 citation statements)

References 15 publications

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“…Tamponade necessitated pericardial drainage in four (0.03 %) [4]. Geld et a1 found that three out of 6,675 patients (0.04%) undergoing cardiac catheterization developed cardiac tamponade requiring drainage [5]. Right ventricular perforation from right heart catheterization may be much more frequent than these figures suggest since clinical manifestations may not be apparent.…”

Section: Discussionmentioning

confidence: 96%

Cardiac tamponade following percutaneous transluminal coronary angioplasty: Four case reports

Goldbaum

Jacob

Smith

et al. 1985

Cathet. Cardiovasc. Diagn.

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Percutaneous transluminal coronary angioplasty (PTCA) has had complications related to dilating catheters and guide wires such as coronary artery dissection, spasm, rupture, and perforation. This report describes four patients who developed cardiac tamponade following PTCA, presumably from right ventricular (RV) perforation. All four received large doses of heparin during PTCA and three received antiplatelet therapy. In three cases, cardiac tamponade occurred several hours after PTCA. All patients did well following operative intervention and no patient required repair of a cardiac perforation. We postulate that impaired hemostasis in the presence of an otherwise inconsequential RV perforation causes tamponade. Three alternatives to provide standby pacing are proposed.

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Section: Discussionmentioning

confidence: 96%

Cardiac tamponade following percutaneous transluminal coronary angioplasty: Four case reports

Goldbaum

Jacob

Smith

et al. 1985

Cathet. Cardiovasc. Diagn.

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“…9 Gehl et al reported three cardiac perforations during diagnostic cardiac catheterization among 6675 patients, perforation sites were the left atrium in two patients and right atrium in one patient. 10 Keltai et al described four cases of cardiac perforation in 11000 procedures; one at the left atrium and three in the right ventricle. 11 The incidence of perforation is clearly related to the performance of procedures that use stiffer catheters (transseptal catheterization, endomyocardial biopsy, balloon valvuloplasty, needle pericardiocentesis, and placement of NIH or temporary pacing catheters).…”

Section: Discussionmentioning

confidence: 98%

Perforation of normal left ventricle by contrast jet during left ventricular angiogram by hand injection using TIG OPTITORQUE catheter – A rare complication

Prajapati

Shah

Patel

2015

Journal of Indian College of Cardiology

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Hand contrast injection TIG OPTITORQUE catheter a b s t r a c t A 70-year-old hypertensive female presented with exertional angina (NYHA class II).Clinical cardiac examination and electrocardiogram was normal. Echocardiography was normal except grade I diastolic dysfunction. Coronary angiogram revealed non-obstructive coronary artery disease. Left ventricular angiogram was performed by hand injection using 5F TIG OPTITORQUE catheter (Terumo Corporation, NJ.), which was complicated by myocardial staining, myocardial perforation and pericardial effusion. Patient was managed conservatively and discharged on fourth day with stable hemodynamic condition. Echocardiogram performed on tenth day of event revealed resolution of pericardial effusion.

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“…Unintentional perforation of the aorta or right atrial free wall may occur and lead to cardiac tamponade. Perforation can also occur with the use of other catheters that are relatively stiff, such as the National Institute of Health angiographic catheter [50]. When perforation occurs and tamponade is suspected, pericardiocentesis is indicated.…”

Section: Coronary Angiography and Uentriculographymentioning

confidence: 96%

“…When perforation occurs and tamponade is suspected, pericardiocentesis is indicated. Cardiac surgery may be necessary [50].…”

Section: Coronary Angiography and Uentriculographymentioning

confidence: 99%

Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures

Gold

Rios²

1987

J Intensive Care Med

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Gold RL, Rios JC. latrogenic cardiovascular disease secondary to diagnostic and therapeutic procedures. J Intensive Care Med 1987;2:49-60.The number of diagnostic and therapeutic procedures performed in cardiology continues to grow. These procedures are generally considered safe or of minimal risk to the patient. However, it is important to remember that significant complications may occur, and in each patient the risk: benefit ratio must be carefully weighed.In this review, the complications documented in the medical literature resulting from the use of cardiologic interventions and procedures are discussed. A thorough knowledge of these complications and their precipitating factors can help minimize the risk to the patient.

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Cardiac perforation with tamponade during cardiac catheterization

Cited by 13 publications

References 15 publications

Cardiac tamponade following percutaneous transluminal coronary angioplasty: Four case reports

Cardiac tamponade following percutaneous transluminal coronary angioplasty: Four case reports

Perforation of normal left ventricle by contrast jet during left ventricular angiogram by hand injection using TIG OPTITORQUE catheter – A rare complication

Iatrogenic Cardiovascular Disease Secondary to Diagnostic and Therapeutic Procedures

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