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Published on: December 10, 2020
Pericardial tamponade complicating central venous interventions
Andrew R Forauer1, Narasimham L Dasika, Joseph J Gemmete
1Section of Vascular/Interventional Radiology, Department of Radiology, University of Michigan Medical Center, B1D 530, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109-0030, USA. forauer@umich.edu
Insights
Cardiac tamponade, fluid accumulation impairing heart filling, can arise from various causes. Recognizing and treating this condition is crucial, especially during complex central venous interventions.
Area of Science:
- Cardiology
- Radiology
- Interventional Radiology
Background:
- Cardiac tamponade is a critical condition where pericardial fluid accumulation impedes ventricular diastolic filling.
- Numerous etiologies exist, including cardiac disease, malignancy, and various forms of trauma.
Observation:
- This abstract reviews two cases of pericardial tamponade complicating central venous interventions.
- It highlights the increasing relevance of recognizing iatrogenic cardiac tamponade during complex percutaneous procedures.
Findings:
- Interventional radiologists must be adept at identifying pre-existing and procedure-induced cardiac tamponade.
- Familiarity with the diagnosis and treatment of cardiac tamponade is essential for patient safety.
Implications:
- Enhanced awareness and preparedness for cardiac tamponade are vital for interventional radiologists.
- Improved management strategies can mitigate risks associated with central venous interventions.
Abstract:
Cardiac tamponade is defined as an accumulation of fluid within the pericardial sac that is large enough to impair the diastolic filling of the ventricles. There are numerous causes, including cardiac disease, malignancy, and trauma (penetrating, blunt, and iatrogenic). With increasing complexity of percutaneous endovascular interventions, interventional radiologists must learn to recognize the preexisting and iatrogenic presence of cardiac tamponade during procedures and be familiar with its treatment. Two cases of pericardial tamponade complicating central venous interventions are described. In addition, the clinical condition is discussed and its diagnosis and treatment are reviewed.
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