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Pericardiocentesis can be nasty. Accidents do occur while “Rail-roading” Sheaths and pigtails!


Department of Cardiac Anesthesiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Jitin Narula
Department of Cardiac Anesthesiology, 7th Floor, Cardio-thoracic and Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_115_17

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Year : 2018  |  Volume : 21  |  Issue : 3  |  Page : 290-292

 

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Pericardiocentesis is a challenging procedure and complications may vary depending on the patient-specific risk factors and procedural indications. Cardiac chamber perforation and the subsequent insertion of pigtail catheter into the main pulmonary artery are an unreported mishap during attempted pericardiocentesis. This potentially life-threatening complication is completely preventable by identification of high-risk patients and appropriate use of available technologies. Adjunctive imaging decreases procedural risk for difficult-to-access pericardial fluid collections and must be used to prevent inadvertent morbidities.






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Department of Cardiac Anesthesiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Jitin Narula
Department of Cardiac Anesthesiology, 7th Floor, Cardio-thoracic and Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_115_17

Rights and Permissions

Pericardiocentesis is a challenging procedure and complications may vary depending on the patient-specific risk factors and procedural indications. Cardiac chamber perforation and the subsequent insertion of pigtail catheter into the main pulmonary artery are an unreported mishap during attempted pericardiocentesis. This potentially life-threatening complication is completely preventable by identification of high-risk patients and appropriate use of available technologies. Adjunctive imaging decreases procedural risk for difficult-to-access pericardial fluid collections and must be used to prevent inadvertent morbidities.






[FULL TEXT] [PDF]*


        
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