[Acute pericardial tamponade after percutaneous transluminal coronary angioplasty (PTCA). A rare life threatening complication].
Cardiac tamponade following coronary perforation is a rare complication in conventional balloon angioplasty. In a series of 8000 dilatations we observed this complication after PTCA in 2 female patients (0.25/1000). In both cases cardiac tamponade occurred 2 h after PTCA of small, in 1 case calcified, coronary arteries during monitoring on the coronary care unit. By immediate percutaneous pericardiocentesis and subsequent drainage by a pigtail catheter we could manage the complication. One patient suffered an acute myocardial infarction 3 days after PTCA because of a subacute occlusion of the perforated vessel.
Seggewiss
H
H
Kardiologische Klinik, Herz- und Diabeteszentrum Nordrhein-Westfalen, Universitätsklinik, Ruhr-Universität Bochum, Bad Oeynhausen.
Schmidt
H K
HK
Mellwig
K P
KP
Everlien
M
M
Strick
S
S
Fassbender
D
D
Vogt
J
J
D000368:Aged; D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000295:instrumentation; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D002408:Catheters, Indwelling; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D012008:Recurrence
Die akute Perikardtamponade nach perkutaner transluminaler Koronarangioplastie (PTCA). Eine seltene lebensbedrohliche Komplikation.