Four Cases of Pericardial Tamponade Following Percutaneous Transluminal Coronary Angioplasty.
10.4070/kcj.1999.29.5.523
- Author:
Jong Hyung CHOI
;
Chong Yun RHIM
;
Kyung Sun HONG
;
Dae Gyun PARK
;
Young Cheoul DOO
;
Kyoo Rok HAN
;
Dong Jin OH
;
Kyu Hyung RYU
;
Young Bahk KOH
;
Kwang Hack LEE
;
Young LEE
- Publication Type:Case Report
- Keywords:
Percutaneous transluminal coronary angioplasty;
Pericardial tamponade;
Pericardiocentesis
- MeSH:
Angioplasty, Balloon, Coronary*;
Cardiac Catheterization;
Cardiac Catheters;
Cardiac Tamponade*;
Catheterization;
Catheters;
Coronary Artery Disease;
Coronary Vessels;
Diagnosis;
Heart Ventricles;
Heparin;
Humans;
Pericardiocentesis;
Rupture;
Spasm
- From:Korean Circulation Journal
1999;29(5):523-527
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous transluminal coronary angioplasty (PTCA) is a relatively safe and effective procedure in the treatment of coronary artery disease, but complications related to dilating catheters and guide wires such as coronary artery dissection, spasm, rupture, and perforation can be. Pericardial tamponade is a rare complication of cardiac catheterization, and prompt diagnosis and proper management are important in lifesaving. We report 4 patients who developed pericardial tamponade following PTCA, presumably from coronary artery or right ventricular perforation. All 4 patients received heparin during PTCA and temporary pacemaker was placed in the right ventricle. Pericardial tamponade was recognized in the catheterization laboratory in 1 patient, within 3 hours after leaving the laboratory in 3 patients. Emergent pericardiocentesis was performed in all patients. Three patients recovered and one patient died.
