Related Experiment Video

Updated: Aug 15, 2025

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

3.7K

Catheter-Induced Left Ventricular Perforation and Cardiac Tamponade During Left Heart Catheterization

Savvy Nandal1, Brian A Herman

  • 1Launceston General Hospital, 274-280 Charles Street, Launceston TAS 7250, Australia. savvy.nandal@gmail.com.

The Journal of Invasive Cardiology
|January 1, 2023
PubMed

Insights

Iatrogenic ventricular perforation is a rare, life-threatening complication during cardiac catheterization. Prompt recognition and management of cardiac tamponade are vital for patient survival.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Complications

Background:

  • Iatrogenic ventricular perforation of the myocardial wall is a rare but life-threatening complication.
  • It has been described using pulmonary artery catheter, pigtail catheter, and Judkins catheter.

Purpose of the Study:

  • To highlight the importance of increased vigilance and prompt management of cardiac tamponade.
  • To emphasize the risks associated with specific equipment during cardiac catheterization.

Main Methods:

  • Review of a case involving iatrogenic ventricular perforation.
  • Discussion of diagnostic and management strategies for cardiac tamponade.
  • Analysis of equipment-related risks during cardiac catheterization.

Main Results:

  • Straight wires and catheters increase the risk of perforation compared to J-tip wires when crossing the aortic valve for left ventriculogram.
  • Prompt recognition of cardiac tamponade and pericardial drain insertion are vital.
  • Surgical patch repair may be required for definitive treatment.

Conclusions:

  • Increased vigilance is crucial when using high-risk equipment during cardiac catheterization.
  • Prompt management of cardiac tamponade is vital for improving outcomes in iatrogenic ventricular perforation.

Keywords:
cardiac tamponadeleft ventricular perforation

More Related Videos

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.3K
Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.0K

Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
77
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
128
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
112
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
152
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
104
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
126