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A Case of Late Cardiac Tamponade After a Complex Percutaneous Coronary Intervention

Fahad B Tahir1, Sualeha Zulfiqar2, Muhammad Umair Rana3

  • 1Hospital Medicine, TidalHealth Peninsula Regional, Salisbury, USA.

Cureus
|September 19, 2023
PubMed

Insights

Rotational atherectomy (RA) is crucial for complex PCI but carries risks. This case highlights a rare delayed complication: cardiac tamponade days after the procedure.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Rotational atherectomy (RA) is an essential endovascular technique for debulking calcified coronary plaque during complex percutaneous coronary intervention (PCI).
  • While generally safe, RA is associated with periprocedural complications, including coronary perforation, occurring in up to 2% of cases.
  • Delayed and unrecognized complications following RA can lead to significant patient morbidity and mortality.

Keywords:
complex pcicoronary artery perforationpericardial effusionrotational atherectomytamponade

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