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Intra-pericardial thrombin injection as bailout strategy in iatrogenic pericardial tamponade.


ABSTRACT:

Background

Cardiac tamponade is a rare but life-threatening complication of cardiac interventions. Despite prompt pericardiocentesis, clinical management can be challenging and sometimes haemodynamic stabilisation is difficult to achieve. Intra-pericardial thrombin injection after pericardiocentesis promotes haemostasis and acts as a sealing agent, as previously described for left ventricular free-wall rupture. We aimed to evaluate intra-pericardial thrombin injection as a bailout strategy for pericardial tamponade following percutaneous cardiac interventions.

Methods

In a 5-year single-centre retrospective analysis we identified 31 patients with cardiac tamponade due to percutaneous intracardiac procedures. Intra-pericardial thrombin injection as a bailout strategy was admi

SUBMITTER: Rottlander D 

PROVIDER: S-EPMC9892408 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature