Cardiac perforation and tamponade in percutaneous cardiac intervention.
10.3969/j.issn.1672-7347.2011.01.012
- Author:
Xiangqian SHEN
1
;
Zhenfei FANG
;
Xinqun HU
;
Qiming LIU
;
Tao ZHOU
;
Jianjun TANG
;
Shenghua ZHOU
;
Xiaoling LU
Author Information
1. Department of Cardiology, Second Xiangya Hospital, Central South University, Changsha 410011, China. xiangqian19982008@yahoo.com.cn
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Angioplasty, Balloon, Coronary;
adverse effects;
Cardiac Catheterization;
adverse effects;
Cardiac Tamponade;
etiology;
Child;
Child, Preschool;
Female;
Heart Injuries;
epidemiology;
etiology;
Humans;
Infant;
Infant, Newborn;
Male;
Middle Aged;
Pacemaker, Artificial;
adverse effects;
Retrospective Studies;
Young Adult
- From:
Journal of Central South University(Medical Sciences)
2011;36(1):74-79
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the cause of cardiac perforation and tamponade during cardiac catheterization and intervention and to evaluate the effectiveness of the emergency treatment for tamponade in our hospital.
METHODS:The clinical data from 23, 319 patients who received diagnostic catheterization or therapeutic procedures were analyzed retrospectively.
RESULTS:Cardiac perforation and cardiac tamponade were observed in 22 of the 23, 319 patients during catheter procedures. It includes 1 in coronary artery angiography, 9 in percutaneous balloon mitral valvuloplasty, 3 in diagnosis, 2 in congenital heart disease intervention, 2 in pacemaker implantation, 2 in atrial fibrillation ablation and the other 3 in coronary revascularization. The occurrence of cardiac perforation in 11 patients was related to puncture of the interatrial septum and/or the procedure in the left atrial procedure and 2 were related to high pressure injection. Seventeen patients were found cardiac tamponade in the process of catheterization, and 5 were found at 2-14 h after operation. Pericardiocentesis and pericardial catheter drainage were performed in 20 patients and 11 of them succeeded. Among the other 11 patients, 7 were successfully saved by thoracotomy and 4 died.
CONCLUSION:Cardiac tamponade is a severe and fatal complication that may occur in different catheter procedures. Early prevention and diagnosis and performingperi cardiocentesis and drainage timely are critical to reduce the mortality.
