Failed pericardiocentesis for acute cardiac tamponade: Two cases associated with bivalirudin administration during PCI |
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| Authors: | Owayed M Al Shammeri MBBS FRCPC Richard Crowell MD FRCPC Keir Stewart MD FRCPC Stephen Fort MD MRCP FRCPC |
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| Institution: | Divisions of Cardiology and Cardiothoracic Surgery, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada |
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| Abstract: | Successful management of acute cardiac tamponade secondary to coronary artery perforation during percutaneous coronary intervention (PCI) includes sealing off the site of perforation and pericardiocentesis. We report two cases of acute cardiac tamponade during PCI associated with the administration of bivalirudin, in which attempts at percutaneous pericardiocentesis failed, due to the present of thrombus, rather blood, in the pericardium. © 2009 Wiley‐Liss, Inc. |
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| Keywords: | coagulation complications adult cath/intervention percutaneous coronary intervention perforation |
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