title: Failed pericardiocentesis for acute cardiac tamponade: two cases associated with bivalirudin administration during PCI.
abstract: Successful management of acute cardiac tamponade secondary to coronary artery perforation during percutaneous coronary intervention (PCI) includes sealing off the site of perforation and pericardiocentesis. We report two cases of acute cardiac tamponade during PCI associated with the administration of bivalirudin, in which attempts at percutaneous pericardiocentesis failed, due to the present of thrombus, rather blood, in the pericardium.
authors.affiliation: Division of Cardiology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
authors.forename: Owayed M
authors.initials: OM
authors.lastname: Al Shammeri
authors.forename: Richard
authors.initials: R
authors.lastname: Crowell
authors.forename: Keir
authors.initials: K
authors.lastname: Stewart
authors.forename: Stephen
authors.initials: S
authors.lastname: Fort
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D000925:Anticoagulants / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D003324:Coronary Artery Disease / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques; D006629:Hirudins / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010446:Peptide Fragments / Q000009:adverse effects*; D010492:Pericardiectomy; D020519:Pericardiocentesis; D011994:Recombinant Proteins / Q000009:adverse effects; D015607:Stents; D056346:Sternotomy; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D017211:Treatment Failure; D014463:Ultrasonography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
chemical_list: D000925:Anticoagulants; D006629:Hirudins; D010446:Peptide Fragments; D011994:Recombinant Proteins; C074619:bivalirudin