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Cardiac perforation and tamponade in percutaneous cardiac intervention / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences) ; (12): 74-79, 2011.
Article Dans Chinois | WPRIM | ID: wpr-814522
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.
Sujets)
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pacemaker / Cathétérisme cardiaque / Tamponnade cardiaque / Angioplastie coronaire par ballonnet / Épidémiologie / Études rétrospectives / Lésions traumatiques du coeur Type d'étude: Étude observationnelle Limites du sujet: Adolescent / Adulte / Adulte très âgé / Aged80 / Enfant / Enfant d'âge préscolaire / Femelle / Humains / Bébé / Mâle langue: Chinois Texte intégral: Journal of Central South University(Medical Sciences) Année: 2011 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pacemaker / Cathétérisme cardiaque / Tamponnade cardiaque / Angioplastie coronaire par ballonnet / Épidémiologie / Études rétrospectives / Lésions traumatiques du coeur Type d'étude: Étude observationnelle Limites du sujet: Adolescent / Adulte / Adulte très âgé / Aged80 / Enfant / Enfant d'âge préscolaire / Femelle / Humains / Bébé / Mâle langue: Chinois Texte intégral: Journal of Central South University(Medical Sciences) Année: 2011 Type: Article