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Intraperitoneal hemorrhage associated with transhepatic cardiac catheterization: a report of two cases
F G Erenberg1, D Shim, R H Beekman
1Division of Cardiology, Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.
Catheterization and Cardiovascular Diagnosis
|March 6, 1998
Insights
Transhepatic cardiac catheterization is a new venous access method. However, this case report highlights significant intra-abdominal bleeding risks and management strategies.
Area of Science:
- Interventional Cardiology
- Vascular Access Techniques
- Minimally Invasive Procedures
Background:
- Transhepatic cardiac catheterization is an emerging technique for venous vascular access.
- It is associated with a low complication rate, making it an attractive option.
Observation:
- Two patients experienced significant intra-abdominal bleeding during transhepatic cardiac catheterization.
- This complication, though rare, poses a serious risk.
Findings:
- The report details the clinical presentation and management of these bleeding events.
- Nonoperative strategies were explored for managing the intra-abdominal bleeding.
Implications:
- Highlights the potential risks associated with transhepatic cardiac catheterization.
- Informs clinical practice regarding the recognition and management of rare but serious complications.
- Suggests the need for careful patient selection and monitoring during this procedure.
Abstract:
Transhepatic cardiac catheterization has gained increased interest as a novel technique for venous vascular access with few complications. We report important intra-abdominal bleeding encountered in two patients during transhepatic cardiac catheterization. We describe their management and suggest possible nonoperative strategies.