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急性边缘动脉撕裂作为心包穿刺术的一种并发症

Acute Marginal Artery Laceration as a Complication of Pericardiocentesis.

作者信息

Patel Boskey, Alampoondi Venkataramanan Sai Vikram, Bojar Robert, Kranis Mark, Roumia Mazen

机构信息

Division of Cardiovascular Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA.

Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA.

出版信息

JACC Case Rep. 2022 Apr 20;4(8):501-504. doi: 10.1016/j.jaccas.2022.02.015.

DOI:10.1016/j.jaccas.2022.02.015
PMID:35493792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9044294/
Abstract

The safety of pericardiocentesis as a therapy for cardiac tamponade has improved since the advent of echocardiography-guided pericardiocentesis. The most life-threatening, albeit rare, complication is injury to the coronary vessels or ventricular wall resulting in recurrent tamponade. We present a rare case of acute marginal artery laceration resulting from pericardiocentesis. ().

摘要

自从超声心动图引导下的心包穿刺术出现以来，心包穿刺术作为治疗心脏压塞的安全性有所提高。尽管罕见，但最危及生命的并发症是冠状动脉血管或心室壁损伤，导致反复心脏压塞。我们报告一例因心包穿刺术导致急性边缘动脉撕裂的罕见病例。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/dbed9828a5ae/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/c67cad9d423d/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/de8b2b039136/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/7f27b7d400df/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/dbed9828a5ae/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/c67cad9d423d/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/de8b2b039136/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/7f27b7d400df/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86c/9044294/dbed9828a5ae/gr3.jpg

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本文引用的文献

1
Coronary artery perforation secondary to lifesaving pericardiocentesis for cardiac tamponade: a case report.冠状动脉穿孔继发于抢救性心包穿刺术治疗心脏压塞：病例报告。
BMC Cardiovasc Disord. 2021 Jan 28;21(1):55. doi: 10.1186/s12872-021-01875-0.
2
A contemporary look at pericardiocentesis.心包穿刺术的现代观点。
Trends Cardiovasc Med. 2019 Oct;29(7):375-383. doi: 10.1016/j.tcm.2018.10.016. Epub 2018 Nov 20.
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Complications of pericardiocentesis: A clinical synopsis.心包穿刺术的并发症：临床概述
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Echocardiographically guided pericardiocentesis: evolution and state-of-the-art technique.超声心动图引导下心包穿刺术：发展历程与前沿技术
Mayo Clin Proc. 1998 Jul;73(7):647-52. doi: 10.1016/S0025-6196(11)64888-X.