Delayed and repeated cardiac tamponade following microleak in RCA successfully treated with intra arterial sterile glue injection.
Postinterventional pericardial leaks mostly occur intraprocedure or immediately postprocedure and call for an aggressive management right then. Also, once controlled for 24-48 hr, the leaks usually seal themselves spontaneously. We herein describe an unusual case of delayed and continued pericardial leak over 10 days as a result of micro perforation of RCA from the distal wire tip and which was successfully managed by intracoronary injection of sterile synthetic glue, which to the best of our knowledge is the first report of its kind.
Goel
Pravin K
PK
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. pkgoel@sgpgi.ac.in
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage*; D006494:Heparin Antagonists / Q000627:therapeutic use; D006801:Humans; D007269:Injections, Intra-Arterial; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D020519:Pericardiocentesis; D011479:Protamines / Q000627:therapeutic use; D013997:Time Factors; D014014:Tissue Adhesives / Q000008:administration & dosage*; D016896:Treatment Outcome
D006494:Heparin Antagonists; D011479:Protamines; D014014:Tissue Adhesives; D004659:Enbucrilate