Management of massive hemopericardium in the electrophysiology laboratory: The double long sheath technique.
Pacing Clin Electrophysiol
; 45(5): 583-588, 2022 05.
Article
em En
| MEDLINE
| ID: mdl-35262938
ABSTRACT
AIM:
To describe a simple and useful technique for acute management of massive hemopericardium inside the Electrophysiology (EP) laboratory METHODS ANDRESULTS:
Five patients from a single center experience were identified, all with blood loss above 1000 ml after initial pericardiocenthesis. Using two long 8.5 F transseptal sheaths inside the pericardium space, with continuous negative pressure, allowed the complete cessation of bleeding or hemodynamic maintenance until definitive surgical repair in all patientsCONCLUSION:
The use of two long sheaths for blood drainage, instead of conventional pericardiocenthesis, might be helpful to manage massive hemopericardium inside EP lab, avoiding urgent cardiac surgery or maintaining clinical stability until surgical staff is available.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Derrame Pericárdico
/
Procedimentos Cirúrgicos Cardíacos
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article