title: [Acute pericardial tamponade after percutaneous transluminal coronary angioplasty (PTCA). A rare life threatening complication].
abstract: 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.
authors.affiliation: Kardiologische Klinik, Herz- und Diabeteszentrum Nordrhein-Westfalen, Universitätsklinik, Ruhr-Universität Bochum, Bad Oeynhausen.
authors.forename: H
authors.initials: H
authors.lastname: Seggewiss
authors.forename: H K
authors.initials: HK
authors.lastname: Schmidt
authors.forename: K P
authors.initials: KP
authors.lastname: Mellwig
authors.forename: M
authors.initials: M
authors.lastname: Everlien
authors.forename: S
authors.initials: S
authors.lastname: Strick
authors.forename: D
authors.initials: D
authors.lastname: Fassbender
authors.forename: J
authors.initials: J
authors.lastname: Vogt
mesh_terms: 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
vernacular_title: Die akute Perikardtamponade nach perkutaner transluminaler Koronarangioplastie (PTCA). Eine seltene lebensbedrohliche Komplikation.