Narula Jitin, Choudhury Arindam, Sharma Arun
Department of Cardiac Anesthesiology, All India Institute of Medical Sciences, New Delhi, India.
Ann Card Anaesth. 2018 Jul-Sep;21(3):290-292. doi: 10.4103/aca.ACA_115_17.
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.
心包穿刺术是一项具有挑战性的操作，并发症可能因患者特定的风险因素和操作指征而异。心脏腔室穿孔以及随后将猪尾导管插入主肺动脉是心包穿刺术尝试过程中未报告的意外情况。通过识别高危患者并适当使用现有技术，这种潜在的危及生命的并发症是完全可以预防的。辅助成像可降低获取困难的心包积液的操作风险，必须用于预防意外的发病情况。
