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Iatrogenic Pneumopericardium During Pericardiocentesis

Sourabh Agstam1, Anunay Gupta, Preeti Gupta

  • 1VMMC and Safdarjung Hospital, New Delhi, India. sourabhagstam@gmail.com.

The Journal of Invasive Cardiology
|November 1, 2020
PubMed

Insights

Iatrogenic pneumopericardium, a rare complication of pericardiocentesis, can occur from accidental sheath leakage. This case highlights its occurrence during guidewire passage, emphasizing meticulous technique and patient cooperation during the procedure.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Procedures

Background:

  • Pericardiocentesis is a procedure to drain fluid from the pericardial sac.
  • Iatrogenic pneumopericardium is a known but rare complication.
  • Previous reports attribute this complication to leakage from the sheath side port.

Observation:

  • This case report details an instance of iatrogenic pneumopericardium.
  • The complication occurred during the guidewire passage phase of pericardiocentesis.
  • This differs from previously reported mechanisms of leakage.

Findings:

  • Accidental air entry into the pericardial space can lead to pneumopericardium.
  • Guidewire manipulation poses a risk for iatrogenic pneumopericardium.
  • Meticulous procedural technique is crucial to prevent complications.

Implications:

  • Highlights the importance of careful guidewire handling during pericardiocentesis.
  • Underscores the need for continuous vigilance for potential complications.
  • Suggests patient instructions, such as breath-holding, may aid prevention.
Keywords:
complicationpericardiocentesispneumopericardium

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