2,552 results match your criteria Pericardiocentesis


Inadvertent transseptal puncture into the aortic root: the narrow edge between luck and catastrophe in interventional cardiology.

Europace 2019 Mar 18. Epub 2019 Mar 18.

Department of Cardiology, Asklepios Klinik St. Georg, Lohmühlenstr. 5, Hamburg, Germany.

Aims: Inadvertent puncture of the aortic root (AR) is a well-known complication of transseptal puncture (TSP). Strategies for handling of this potentially lethal complication have not been identified yet. In this study, we present typical anatomical locations and clinical management of aortic root puncture (ARP) due to TSP. Read More

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https://academic.oup.com/europace/advance-article/doi/10.109
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http://dx.doi.org/10.1093/europace/euz042DOI Listing
March 2019
1 Read

Intraoperative Management to Prevent Cardiac Collapse in a Patient With a Recurrent, Large-volume Pericardial Effusion and Paroxysmal Atrial Fibrillation During Liver Transplantation: A Case Report.

Transplant Proc 2019 Mar 3;51(2):568-574. Epub 2019 Jan 3.

Department of Anesthesiology and Pain Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Electronic address:

Background: Pericardial effusion is a common feature of end-stage liver disease. In this case report we describe the intraoperative management of recurrent pericardial effusion, without re-pericardiocentesis, to prevent circulatory collapse during a critical surgical time-point; that is, during manipulation of the major vessels and graft reperfusion.

Methods: A 47-year-old woman with hepatitis B was scheduled to undergo deceased donor liver transplantation (LT). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345183164
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http://dx.doi.org/10.1016/j.transproceed.2018.12.019DOI Listing
March 2019
1 Read

Purulent Pericarditis in Sickle Cell Disease Due to Streptococcus agalactiae; a Unique Case Report and Literature Review.

Hemoglobin 2019 Mar 18:1-3. Epub 2019 Mar 18.

a Downstate College of Medicine, Department of Medicine, Division of Hematology-Oncology , State University of New York , Brooklyn , NY , USA.

Purulent pericarditis is a localized infection with a thick, fibrinous hypercellular exudate and is historically associated with a high mortality. We describe a case of purulent pericarditis due to Streptococcus agalactiae (S. agalactiae) in a 30-year-old woman with sickle cell disease who presented with fever, dyspnea, and S. Read More

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http://dx.doi.org/10.1080/03630269.2019.1579736DOI Listing
March 2019
0.955 Impact Factor

Editorial commentary: Pericardiocentesis: No more a subspecialty technique!

Trends Cardiovasc Med 2019 Feb 5. Epub 2019 Feb 5.

University Cardiology, AOU Città della Salute e della Scienza di Torino, Italy, Corso Bramante 88, 10126 Torino, Italy.

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http://dx.doi.org/10.1016/j.tcm.2019.01.010DOI Listing
February 2019

Pericarditis - Clinical presentation and characteristics of a pediatric population.

Rev Port Cardiol 2019 Mar 12. Epub 2019 Mar 12.

Serviço de Cardiologia Pediátrica, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal.

Introduction: Pericarditis is an inflammation of the pericardium. It may be infectious or secondary to a systemic disease. The aim of this study was to analyze the clinical findings, course, treatment and follow-up of children diagnosed with pericarditis at our center. Read More

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http://dx.doi.org/10.1016/j.repc.2018.05.017DOI Listing
March 2019
1 Read

In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions in Patients With Prior Coronary Artery Bypass Graft Surgery.

Circ Cardiovasc Interv 2019 Mar;12(3):e007338

Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, MN (P.T., M.N.B., I.X., L.I.S., B.V.R., E.S.B.).

Background: We examined the procedural outcomes of chronic total occlusions (CTO) percutaneous coronary interventions in patients with prior coronary artery bypass graft surgery (CABG).

Methods And Results: We compared the clinical, angiographic characteristics and outcomes of 3486 CTO interventions performed in patients with (n=1101) and without (n=2317) prior CABG at 21 centers. Prior CABG patients (32% of total cohort) were older (67±9 versus 63±10 years; P<0. Read More

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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.118.007338DOI Listing
March 2019
1 Read

Primary Seminoma Localized in Mediastinum: Case Report.

Open Access Maced J Med Sci 2019 Feb 25;7(3):384-387. Epub 2019 Jan 25.

Acibadem Sistina Hospital, Skopje, Republic of Macedonia.

Background: Primary mediastinal seminomas most commonly occur in young men, and they are localised in the anterior mediastinum.

Case Presentation: The presented study is a case report of a 34-year-old man suffering from a mediastinal tumour in size of 19 cm, with pleural and pericardial effusion. The patient complains of cough, difficulty breathing, weight loss, and pronounced tiredness. Read More

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http://dx.doi.org/10.3889/oamjms.2019.122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390165PMC
February 2019
1 Read

Peritonitis and pneumoperitoneum after successful emergency pericardiocentesis in the case of a Chilaiditi syndrome.

J Geriatr Cardiol 2019 Jan;16(1):60-62

Department of Cardiology, Helios University Hospital and University of Witten/Herdecke, Wuppertal, Arrenbergerstr, Wuppertal, Germany.

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http://dx.doi.org/10.11909/j.issn.1671-5411.2019.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379237PMC
January 2019
1 Read

Usefulness of Atherectomy in Chronic Total Occlusion Interventions (from the PROGRESS-CTO Registry).

Am J Cardiol 2019 Feb 11. Epub 2019 Feb 11.

Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota. Electronic address:

There is limited data on the use of atherectomy during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We compared the clinical and procedural characteristics and outcomes of CTO PCIs performed with or without atherectomy in a contemporary multicenter CTO PCI registry. Between 2012 and 2018, 3,607 CTO PCIs were performed at 21 participating centers. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149193018
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http://dx.doi.org/10.1016/j.amjcard.2019.01.054DOI Listing
February 2019
4 Reads

Complicated Complication: How Interventional Radiologists Should Manage Acute Iatrogenic Cardiac Tamponade.

Cureus 2018 Dec 8;10(12):e3708. Epub 2018 Dec 8.

Radiology, University of Florida College of Medicine, Jacksonville, USA.

Computed tomography guided biopsies are common interventional procedures that are necessary for confirmation of imaging findings. Additionally, percutaneous biopsies are necessary for the elucidation of a patient's clinical findings with disease pathology. Though interventionists perform these procedures regularly without consequence, various complications may arise depending on the tissues biopsied. Read More

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http://dx.doi.org/10.7759/cureus.3708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372255PMC
December 2018

Reversed Pulsus Paradoxus in Right Ventricular Failure.

Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):298-300

MCGOVERN MEDICAL SCHOOL, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, HOUSTON, TEXAS.

Reversed pulsus paradoxus was first described in 1973 as a rise in peak systolic pressure on inspiration in patients with idiopathic hypertrophic subaortic stenosis or isorhythmic ventricular rhythm and in patients with left ventricular systolic dysfunction on positive pressure ventilation. Positive pressure ventilation, for example, may impel blood from the pulmonary capillaries and venules into the left atrium. This may increase left ventricular preload and accelerate ventricular emptying, which in turn may cause the systolic arterial pressure to rise during inspiration. Read More

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http://dx.doi.org/10.14797/mdcj-14-4-298DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369612PMC
February 2019

A case of purulent pneumococcal pericarditis.

Am J Emerg Med 2019 Feb 11. Epub 2019 Feb 11.

Department of Emergency Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.

Background: Purulent bacterial pericarditis is a rare and potentially fatal disease. The course may be fulminant, and the presentation may pose a diagnostic challenge.

Case Report: An otherwise healthy 75-year-old male was brought to the emergency department in a state of general deterioration, confusion, and shock. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.02.013DOI Listing
February 2019

Targeted Cancer Therapies With Pericardial Effusions Requiring Pericardiocentesis Focusing on Immune Checkpoint Inhibitors.

Am J Cardiol 2019 Jan 25. Epub 2019 Jan 25.

Department of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Case reports have reported immune checkpoint inhibitors (ICI), especially nivolumab, are associated with recurrent pericardial effusions. Our objective was to determine how often patients being treated with ICI develop hemodynamically significant pericardial effusion requiring pericardiocentesis compared with other cancer therapeutics and whether the survival of patients who underwent pericardiocentesis differs according to ICI use versus standard cancer therapeutics. Our institutional review board approved catheterization laboratory data collection for all pericardiocenteses performed and all patients receiving ICI from January 1, 2015 to December 31, 2017. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.01.013DOI Listing
January 2019
1 Read
3.276 Impact Factor

Management of cardiac tamponade during nivolumab of lung cancer with intrapericardial bleomycin: case report.

Immunotherapy 2019 Apr 7;11(6):467-472. Epub 2019 Feb 7.

Department of Thoracic Oncology & Respiratory Medicine, Tokyo Metropolitan Cancer & Infectious Diseases Center, Komagome Hospital, Bunkyo, Tokyo, Japan.

Immuno-checkpoint inhibitor response and immune-related adverse events remain controversial issues. Managing pericardial effusion during programmed cell death 1 inhibitor treatment is challenging. Here, we report a case of successfully managed cardiac tamponade caused by nivolumab-induced pseudoprogression. Read More

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http://dx.doi.org/10.2217/imt-2019-0003DOI Listing
April 2019
3 Reads

Pericardial thrombus and cardiac tamponade after pericardiocentesis with intact heart walls.

Echocardiography 2019 Feb 6. Epub 2019 Feb 6.

Department of Cardiology, Ospedale del Mare, Naples, Italy.

A young patient affected by a lung neoplasm, presented at emergency department with cardiac tamponade, underwent pericardiocentesis with a prompt restoration of hemodynamic stability. An hour later, the patient presented again signs of tamponade, without evidence of fluids in the drainage that was left in pericardial space. The echocardiography revealed an intrapericardial thrombus compressing the right chambers. Read More

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http://dx.doi.org/10.1111/echo.14276DOI Listing
February 2019
1 Read

Pericardial Effusion With Tamponade in Lung Cancer Patients During Treatment With Nivolumab: A Report of Two Cases.

Front Oncol 2019 22;9. Epub 2019 Jan 22.

Department of Molecular and Internal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Nivolumab is an immune checkpoint inhibitor (ICI) that has shown efficacy for treating non-small cell lung cancer and has become a standard therapy for previously treated non-small cell lung cancer. Moreover, immune-related adverse events of ICI therapy are well-known. Malignant pericardial effusions occasionally arise in patients with lung cancer. Read More

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http://dx.doi.org/10.3389/fonc.2019.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349695PMC
January 2019

Hemodynamics of cardiac tamponade during extracorporeal membrane oxygenation support in a patient with fulminant myocarditis.

J Cardiol Cases 2019 Jan 25;19(1):22-24. Epub 2018 Oct 25.

Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Fulminant myocarditis (FM) causes rapid onset severe heart failure requiring inotropes or mechanical circulatory support. Myocarditis is sometimes associated with pericardial effusion, however, how this effusion affects the hemodynamics in patients with FM under venoarterial extracorporeal membrane oxygenation (VA-ECMO) management has not been fully reported. We show a case of FM presenting with cardiac tamponade during VA-ECMO management. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.08.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342684PMC
January 2019
1 Read

Predictors, treatment, and long-term outcomes of coronary perforation during retrograde percutaneous coronary intervention via epicardial collaterals for recanalization of chronic coronary total occlusion.

Catheter Cardiovasc Interv 2019 Feb 28;93(S1):800-809. Epub 2019 Jan 28.

Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, People's Republic of China.

Objective: To investigate predictors, treatment, and long-term outcomes associated with coronary perforation (CP) in patients who underwent retrograde percutaneous coronary intervention (PCI) through epicardial collaterals for chronic total occlusion (CTO).

Background: Data regarding CP during retrograde PCI through epicardial collaterals for CTO are scarce.

Methods: We included 155 patients who underwent retrograde CTO PCI through epicardial collaterals at Guangdong Cardiovascular Institute from August 2011 to December 2017. Read More

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http://dx.doi.org/10.1002/ccd.28093DOI Listing
February 2019
2 Reads

Pericardial-Pleural Fistula: An Underrecognized but Surprisingly Common and Clinically Important Complication During Echocardiography Guided Pericardiocentesis.

J Am Soc Echocardiogr 2019 Mar 21;32(3):425-427. Epub 2019 Jan 21.

Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, Australia; Flinders University, Adelaide, Australia.

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http://dx.doi.org/10.1016/j.echo.2018.11.008DOI Listing
March 2019
1 Read
4.056 Impact Factor

Pericardial fluid: an underrated molecular library of heart conditions and a potential vehicle for cardiac therapy.

Basic Res Cardiol 2019 01 18;114(2):10. Epub 2019 Jan 18.

Departamento de Cirurgia e Fisiologia, Faculdade de Medicina da Universidade do Porto, UnIC-Unidade de Investigação Cardiovascular, 4200-319, Porto, Portugal.

The remote but heart-encircling location of pericardial fluid confers this biofluid unique properties. Once past the limitation of the invasive collection, for instance, on occasion of heart surgery or pericardiocentesis, the scrutiny of pericardial fluid content can be of great interest in cardiovascular research. This liquid concentrates many heart-derived factors, thus enclosing several surrogate markers for the diagnosis or prognosis of a large spectrum of diseases either pericardial (e. Read More

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http://dx.doi.org/10.1007/s00395-019-0716-3DOI Listing
January 2019
2 Reads

A national needs assessment study to determine procedures for simulation-based training in cardiology in Denmark.

Scand Cardiovasc J 2019 Jan 16:1-7. Epub 2019 Jan 16.

a Copenhagen Academy for Medical Education and Simulation (CAMES) , The Capital Region of Denmark, Copenhagen , Denmark.

Objectives: New training methods such as simulation have been introduced in cardiology as in other specialties; however, the development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The objective of this study was to perform a nationwide general needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum for cardiology residency in Denmark. Read More

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http://dx.doi.org/10.1080/14017431.2019.1569716DOI Listing
January 2019
2 Reads

Brugada phenocopy in a patient underdoing pericardiocentesis for a large idiopathic pericardial effusion.

J Electrocardiol 2019 Jan 7. Epub 2019 Jan 7.

First Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Greece.

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http://dx.doi.org/10.1016/j.jelectrocard.2019.01.081DOI Listing
January 2019
7 Reads

Acute Influenza Infection Presenting with Cardiac Tamponade: A Case Report and Review of Literature.

Perm J 2019 ;23:18-104

Department of Pulmonary and Critical Care, University of Arkansas for Medical Sciences Medical Center, Little Rock.

Introduction: Cardiac complications associated with influenza infection can occur either via a direct effect of the virus on the heart or through exacerbation of preexisting cardiovascular disease. We present a case of a 57-year-old man with acute influenza infection complicated by pericardial effusion and cardiac tamponade.

Case Presentation: A 57-year-old white man presented to the Emergency Department with sudden onset of severe, nonexertional, retrosternal, pressure-like chest pain for a few hours and with fever and muscle aches for 2 days. Read More

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http://dx.doi.org/10.7812/TPP/18-104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326557PMC
January 2019
1 Read

Percutaneous pericardial access for electrophysiological studies in patients with prior cardiac surgery: approach and understanding the risks.

Expert Rev Cardiovasc Ther 2019 Feb 29;17(2):143-150. Epub 2018 Dec 29.

a Department of Cardiovascular Disease, Division of Heart Rhythm Services , Mayo Clinic , Rochester , MN , USA.

Introduction: The number of procedures for which percutaneous pericardial access is used for has gradually increased since its initial description, and now includes mapping/ablation, atrial appendage ligation and pericardial biopsy. Areas covered: Successful percutaneous pericardial access is predicated on having a thorough understanding of regional anatomy, indications for attempting pericardial puncture and potential complications with appropriate management which are highlighted in this review. In addition, we will discuss the access technique itself, provide tips and pitfalls and highlight future directions with an emphasis on patients with prior cardiac surgery. Read More

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https://www.tandfonline.com/doi/full/10.1080/14779072.2019.1
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http://dx.doi.org/10.1080/14779072.2019.1561276DOI Listing
February 2019
6 Reads

Major cardiac and vascular complications after transvenous lead extraction: acute outcome and predictive factors from the ESC-EHRA ELECTRa (European Lead Extraction ConTRolled) registry.

Europace 2018 Dec 27. Epub 2018 Dec 27.

Second Department of Cardiology, Cardiac Thoracic and Vascular Department - University Hospital of Pisa, Via Paradisa, 2, 56124, Cisanello, Italy.

Aims: We aimed at describing outcomes and predictors of cardiac avulsion or tear (CA/T) with tamponade and vascular avulsion or tear (VA/T) after transvenous lead extraction (TLE) in the ESC-EHRA European Lead Extraction ConTRolled (ELECTRa) registry.

Methods And Results: A total of 3555 consecutive patients of whom 3510 underwent TLE at 73 centres in 19 European countries were enrolled. Among 58 patients (1. Read More

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http://dx.doi.org/10.1093/europace/euy300DOI Listing
December 2018
3 Reads

Hemopericardium and Cardiac Tamponade Secondary to Migrated Inferior Vena Cava Filter.

Case Rep Cardiol 2018 21;2018:5919767. Epub 2018 Nov 21.

Department of Cardiology, University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA.

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. Read More

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https://www.hindawi.com/journals/cric/2018/5919767/
Publisher Site
http://dx.doi.org/10.1155/2018/5919767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280290PMC
November 2018
2 Reads

Cardiac Tamponade from Purulent Pericarditis due to .

Case Rep Cardiol 2018 18;2018:4739830. Epub 2018 Nov 18.

Department of Cardiology, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.

Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated. (formerly ) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential. We present a case of purulent pericarditis secondary to leading to cardiac tamponade. Read More

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http://dx.doi.org/10.1155/2018/4739830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276432PMC
November 2018
12 Reads

Pericardial effusion as a complication of chronic graft versus host disease.

BMJ Case Rep 2018 Dec 14;11(1). Epub 2018 Dec 14.

Internal Medicine, Banner University Medical Center, Tucson, Arizona, USA.

A 24-year-old man with previous matched unrelated donor allogenic bone marrow transplant for aplastic anaemia and chronic graft versus host disease on steroid taper presented with progressively worsening anasarca. CT revealed large pericardial effusion, while echocardiogram was concerning for early tamponade physiology. He underwent emergent pericardiocentesis with pericardial drain placement. Read More

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http://dx.doi.org/10.1136/bcr-2018-227507DOI Listing
December 2018
1 Read

Cardiac tamponade after radiofrequency ablation for hepatocellular carcinoma: Case report and literature review.

Medicine (Baltimore) 2018 Dec;97(49):e13532

Department of Internal Medicine, Chonnam National University Medical School.

Rationale: Radiofrequency ablation (RFA) is a safe and effective local treatment modality with a low complication rate and is commonly used to treat hepatocellular carcinoma (HCC). The clinical outcome of RFA may be closely related to the location, size, and shape of index tumors, and major complications, including hemorrhage, liver abscess, infarction, visceral organ perforation, hemothorax, pneumothorax, tumoral seeding, and hepatic failure. Cardiac tamponade is a rare and serious life-threatening complication associated with RFA. Read More

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http://dx.doi.org/10.1097/MD.0000000000013532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310525PMC
December 2018
11 Reads

Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report.

Surg Case Rep 2018 Dec 6;4(1):141. Epub 2018 Dec 6.

Second Department of Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Background: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare.

Case Presentation: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. Read More

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http://dx.doi.org/10.1186/s40792-018-0550-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283806PMC
December 2018
2 Reads

Infectious and Noninfectious Acute Pericarditis in Children: An 11-Year Experience.

Int J Pediatr 2018 8;2018:5450697. Epub 2018 Nov 8.

Division of Infectious Diseases, Children's Hospital of Michigan, Detroit, MI, USA.

Objective: The study was undertaken to determine the etiology, review management, and outcome in children diagnosed with acute pericarditis during 11 years at tertiary pediatric institution.

Methods: Retrospective chart review of children diagnosed between 2004 and 2014. Patients with postsurgical pericardial effusions were excluded. Read More

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https://www.hindawi.com/journals/ijpedi/2018/5450697/
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http://dx.doi.org/10.1155/2018/5450697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250032PMC
November 2018
19 Reads

National Trends and Procedural Complications from Endomyocardial Biopsy: Results from the National Inpatient Sample, 2007-2014.

Cardiology 2018 5;141(3):125-131. Epub 2018 Dec 5.

Department of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, Kansas,

Aim: The aim of this study is to report recent trends in the performance of endomyocardial biopsy (EMB) and its in-hospital complications (and their predictors) in the United States (US).

Method: We analyzed Nationwide Inpatient Sample (NIS) database from years 2007 through 2014 to identify patients who underwent EMB. Once identified, the patients were subdivided into those with no history of heart transplant (HT) (cohort 1) and those with history of HT (cohort 2). Read More

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http://dx.doi.org/10.1159/000493786DOI Listing
December 2018
3 Reads

Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome.

South Med J 2018 Dec;111(12):754-757

From the Hospital Medicine Unit and the Core Educator Faculty and Renal Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, the Heart and Vascular Center, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

We present the case of a 47-year-old man with a history of diabetes mellitus and diabetic nephropathy who was admitted to our hospital with acute uremic myopericarditis. Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. Read More

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http://sma.org/southern-medical-journal/article/uremic-peric
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http://dx.doi.org/10.14423/SMJ.0000000000000899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281170PMC
December 2018
22 Reads

A contemporary look at pericardiocentesis.

Trends Cardiovasc Med 2018 Nov 20. Epub 2018 Nov 20.

Department of Cardiovascular Medicine, University Hospitals Leuven, Herestraat 49, Leuven 3000, Belgium; Department of Cardiovascular Sciences, University of Leuven, Belgium.

Percutaneous drainage is the default strategy for evacuating a pericardial effusion. A pericardiocentesis can be necessary or required in a wide variety of clinical settings ranging from urgent tamponade to relieve in iatrogenic hemorrhagic effusions in the electrophysiology or catheterization room, to planned diagnostic procedures in patients with suspected or known malignancy or infections. With the help of several procedural improvements over the past decades, echocardiography and fluoroscopy-guided percutaneous pericardiocentesis has become the standard intervention for evacuating pericardial effusions, as well as an essential tool in the diagnostic work-up of an unexplained pericardial effusion. Read More

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http://dx.doi.org/10.1016/j.tcm.2018.10.016DOI Listing
November 2018
10 Reads

What echocardiographic findings suggest a pericardial effusion is causing tamponade?

Am J Emerg Med 2019 Feb 17;37(2):321-326. Epub 2018 Nov 17.

Department of Emergency Medicine, Rutgers New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA.

Background: Pericardial tamponade is neither a clinical nor an echocardiographic diagnosis alone. The echocardiogram carries diagnostic value and should be performed when there is suspicion for tamponade based on the history and physical exam. A pericardial effusion uncovered on point-of-care ultrasound (POCUS) may be mistaken for tamponade and thereby lead to inappropriate and invasive management with pericardiocentesis. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.11.004DOI Listing
February 2019
16 Reads

Clinical characteristics and prognosis of cardiac tamponade patients: 5‑year experience at a tertiary center.

Herz 2018 Nov 23. Epub 2018 Nov 23.

Cardiology Department, Numune Education and Research Hospital, 06100, Ankara, Turkey.

Background: Cardiac tamponade (CT) is characterized by compression of the cardiac chambers due to pericardial fluid accumulation. The etiology and prognosis may vary in different regions, and thus patient series from various regions can be useful for exploring the etiological and prognostic disparities. The aim of this study was to determine the clinical characteristics of patients with imminent CT, to evaluate the diagnostic performance of biochemical, microbiologic, and pathologic laboratory analysis, and to ascertain the prognosis of CT patients. Read More

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http://dx.doi.org/10.1007/s00059-018-4769-0DOI Listing
November 2018
10 Reads

Emergency centre diagnosis and treatment of purulent pericarditis: A case report from Tanzania.

Afr J Emerg Med 2018 Mar 1;8(1):37-39. Epub 2018 Feb 1.

Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Introduction: Purulent pericarditis poses diagnostic and therapeutic challenges, especially in resource-limited settings due to the unavailability of diagnostic tools, equipment, and expertise.

Case Report: A three-year-old female presented to the emergency centre at Muhimbili National Hospital in Dar es Salaam, Tanzania with altered mental status, lethargy, intermittent fevers, worsening difficulty in breathing, and progressive lower extremity swelling over two months. The child was in shock upon arrival. Read More

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http://dx.doi.org/10.1016/j.afjem.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223587PMC
March 2018
8 Reads

Cardiac tamponade induced by dabrafenib and trametinib combination therapy for melanoma: Case report.

Medicine (Baltimore) 2018 Nov;97(44):e12751

Rationale: BRAF and MEK inhibitors (BRAF/MEKi) are targeted therapy for proto-oncogene BRAF mutated metastatic unresectable melanoma. Compared to monotherapy, an increased cardiovascular toxicity is reported with the combination of Dabrafenib and Trametinib. This case report documents Grade 4 cardiac treatment emergent adverse effect of pericardial effusion and cardiac tamponade induced by this combination therapy. Read More

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http://dx.doi.org/10.1097/MD.0000000000012751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221704PMC
November 2018
3 Reads

Complications and Anticoagulation Strategies for Percutaneous Epicardial Ablation Procedures.

Circ Arrhythm Electrophysiol 2018 Nov;11(11):e006714

The Cardiovascular Division, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (T.N., G.E.D., A.K., R.M.J., G.F.M., W.G.S.).

Background: Percutaneous pericardial access for catheter ablation is associated with a bleeding risk. We sought to elucidate the relation of hemorrhagic and thromboembolic events associated with epicardial procedures to anticoagulation strategy.

Methods: Anticoagulation strategy before and during pericardial access for 355 patients (57±14 years old) who had ventricular arrhythmia mapping and ablation were reviewed. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCEP.118.006714
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http://dx.doi.org/10.1161/CIRCEP.118.006714DOI Listing
November 2018
16 Reads

A case of pulmonary edema: The critical role of lung-heart integrated ultrasound examination.

Monaldi Arch Chest Dis 2018 10 1;88(3):982. Epub 2018 Oct 1.

CTO Hospital, Emergency Department.

Cardiogenic pulmonary edema is a common presentation of acute heart failure normally treated with continuous positive airway pressure (CPAP), diuretics and nitrates. This therapy is contraindicated in case of cardiac tamponade. We describe a case of pulmonary edema due to cardiac tamponade in which integrated lung-heart ultrasound examination allowed prompt diagnosis and pericardiocentesis before administration of CPAP thus avoiding circulatory collapse. Read More

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http://dx.doi.org/10.4081/monaldi.2018.982DOI Listing
October 2018
5 Reads

Bortezomib-Induced Cardiac Tamponade in a 49-Year-Old Man.

Tex Heart Inst J 2018 08 1;45(4):260-263. Epub 2018 Aug 1.

Proteasome inhibitors such as bortezomib and carfilzomib have been used effectively to treat patients who have certain hematologic malignancies. Proteasome activity is elevated in the heart, and potent inhibition results in accumulation of misfolded intracellular protein aggregates and apoptosis. Heart failure, conduction disturbances, and premature atherosclerosis have been associated with bortezomib therapy. Read More

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http://thij.org/doi/10.14503/THIJ-17-6242
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http://dx.doi.org/10.14503/THIJ-17-6242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183647PMC
August 2018
14 Reads

Cytomegalovirus pleuropericarditis after orthotopic liver transplantation.

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):427-429

Antwerp University Hospital, Department of Gastroenterology and Hepatology.

Cytomegalovirus (CMV) reactivation is a common complication after liver transplantation. In patients with CMV infection, indicated by a positive CMV DNA titer, the presence of any clinical symptom is termed CMV disease. The most common organ affected in CMV disease is the gastrointestinal tract, causing esophagitis, gastritis, enteritis or colitis. Read More

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February 2019
3 Reads

A Malignant Squeeze: A Rare Cause of Cardiac Tamponade.

Case Rep Oncol Med 2018 23;2018:5470981. Epub 2018 Sep 23.

Department of Hematology and Oncology, Beaumont Health, Royal Oak, MI, USA.

Primary cardiac lymphoma (PCL) is a rare condition described as a lymphoma localized to the heart or pericardium. Although cardiac involvement is seen in 10-20% of non-Hodgkin's lymphomas, PCL is extremely rare. It comprises merely 0. Read More

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http://dx.doi.org/10.1155/2018/5470981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174758PMC
September 2018
2 Reads

Impending cardiac tamponade as a primary presentation of Hashimoto's thyroiditis.

BMJ Case Rep 2018 Oct 21;2018. Epub 2018 Oct 21.

University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.

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http://dx.doi.org/10.1136/bcr-2018-227275DOI Listing
October 2018
3 Reads

Resolved heart tamponade and controlled exophthalmos, facial pain and diabetes insipidus due to Erdheim-Chester disease.

BMJ Case Rep 2018 Oct 17;2018. Epub 2018 Oct 17.

Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

A 69-year-old woman suffering from exophthalmos and facial pain came to us referred for aetiological diagnosis of exophthalmos. Orbital MRI showed thinned extrinsic ocular musculature, intraconal fat infiltration, retro-ocular compression and thickening of maxillary and sphenoid sinus walls. She had been suffering from diabetes insipidus for the last 7 years. Read More

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http://dx.doi.org/10.1136/bcr-2018-225224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254461PMC
October 2018
3 Reads

Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians.

Emerg Med J 2018 Oct 16. Epub 2018 Oct 16.

Paediatric Research in Emergency Departments International Collaborative (PREDICT), Parkville, Victoria, Australia.

Objective: To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures.

Methods: Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network.

Results: 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Read More

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http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207384
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http://dx.doi.org/10.1136/emermed-2017-207384DOI Listing
October 2018
15 Reads

Organized Hemopericardium Mimicking Malignant Tumor: A Case of Spontaneous Pericardial Hematoma In a 23-Year-Old Young Male.

Authors:
Wenda Wang Qi Miao

Heart Surg Forum 2018 Sep 27;21(5):E409-E411. Epub 2018 Sep 27.

The Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College.

Spontaneous pericardial hematoma is rare, and the diagnosis of spontaneous organized hemopericardium is difficult in some cases. The present study reports a case of a 23-year-old man admitted to our hospital for dyspnea on Sept. 30, 2017. Read More

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http://dx.doi.org/10.1532/hsf.2028DOI Listing
September 2018
4 Reads

Effects of Advanced Cardiac Procedure Simulator Training on Learning and Performance in Cardiovascular Medicine Fellows.

J Med Educ Curric Dev 2018 Jan-Dec;5:2382120518803118. Epub 2018 Oct 4.

Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Background: Simulation-based training has been used in medical training environments to facilitate the learning of surgical and minimally invasive techniques. We hypothesized that integration of a procedural simulation curriculum into a cardiology fellowship program may be educationally beneficial.

Methods: We conducted an 18-month prospective study of cardiology trainees at Vanderbilt University Medical Center. Read More

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http://journals.sagepub.com/doi/10.1177/2382120518803118
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http://dx.doi.org/10.1177/2382120518803118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172931PMC
October 2018
3 Reads

Efficacy of temperature-guided cryoballoon ablation without using real-time recordings - 12-Month follow-up.

Int J Cardiol Heart Vasc 2018 Dec 4;21:50-55. Epub 2018 Oct 4.

Department of Internal Medicine I, Jena University Hospital, Jena, Germany.

Background: We sought to evaluate a temperature-guided approach of cryoballoon (CB) ablation without visualization of real-time recordings.

Methods And Results: We analysed 166 patients (34.9% female, 60 ± 11 years) with paroxysmal or short-term persistent atrial fibrillation (AF). Read More

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http://dx.doi.org/10.1016/j.ijcha.2018.09.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174823PMC
December 2018
2 Reads