Treatment and prevention of acute cardiac tamponade during cardiac interventional therapy
10.3760/cma.j.issn.1008-6315.2011.08.024
- VernacularTitle:心脏介入术中急性心包填塞的救治
- Author:
Shiying XING
;
Honglei WANG
;
Pingshuan DONG
- Publication Type:Journal Article
- Keywords:
Cardiac tamponade;
Percutaneous coronary intervention;
Radiofrequency catheter ablation;
Percutaeous ballon valvaloplasty
- From:
Clinical Medicine of China
2011;27(8):848-850
- CountryChina
- Language:Chinese
-
Abstract:
Objective To provide clinical experience in the treatment and prevention of complicated acute cardiac tamponade in the course of heart interventional therapy. Methods To analyse the clinical features of patients with acute cardiac tamponade and to investigate the possible underlying mechanism. Results Twenty-one cases experienced acute cardiac tamponade when undergoing heart interventional therapy. Among all the 21 patients with acute cardiac tamponade, 11 occurred from percutaneous coronary interention(PCI) ,6 from the radiofrequency catheter ablation , 1 from the closure of atrial rspetal with amplaty closure service, 1 from the percutaeous balloon mitral valvuloplasty ( PBMV), 2 from temporary pacemaker implantation. Eighteen patients were successfully rescued left no serious sequelae. Three cased died, including two PCI-related death and one temporary-pacemaker-installation-related death. Conclusion Any heart interventional operation is at the risk to cause acute cardiac tamponade. Early identification and appropriate treatment is the key to successful rescue.
