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Cardiac tamponade in the interventional era: A paradigm shift in etiology and outcomes
Author(s) -
Goldstein James A.
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28764
Subject(s) - medicine , pericardiocentesis , cardiac tamponade , pericardial effusion , percutaneous , tamponade , pericardium , cardiology , hemodynamics , intensive care medicine , radiology , surgery
Key Points CT unrelated to percutaneous interventions: Slow effusion in compliant pericardium, with gradual hemodynamic manifestations allows controlled echo guided pericardiocentesis CT complicating percutaneous interventions: Traumatic breach of cardiac anatomy, with abrupt hemorrhage into a noncompliant pericardium inducing profound hemodynamic compromise. Stabilization requires both “pericardial relief” and attention to the primary anatomic defect. CT induced by percutaneous interventions typically occurs in patients with intrinsically infirm hearts (coronary, valvular, and myocardial disease), suffering comorbidities (elderly, kidney disease) that render them less able to tolerate hemodynamic compromise