Management of massive hemopericardium in the electrophysiology laboratory: The double long sheath technique.

Autor: Chokr MO; Instituto do Coração HCFMUSP, São Paulo, Brazil., Santos IBDSS; Instituto do Coração HCFMUSP, São Paulo, Brazil., Gouvea FC; Instituto do Coração HCFMUSP, São Paulo, Brazil., Kulchetscki R; Instituto do Coração HCFMUSP, São Paulo, Brazil., Andere TE; Instituto do Coração HCFMUSP, São Paulo, Brazil., Hardy C; Instituto do Coração HCFMUSP, São Paulo, Brazil., Pisani C; Instituto do Coração HCFMUSP, São Paulo, Brazil., Melo S; Instituto do Coração HCFMUSP, São Paulo, Brazil., Scanavacca M; Instituto do Coração HCFMUSP, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2022 May; Vol. 45 (5), pp. 583-588. Date of Electronic Publication: 2022 Mar 25.
DOI: 10.1111/pace.14477
Abstrakt: Aim: To describe a simple and useful technique for acute management of massive hemopericardium inside the Electrophysiology (EP) laboratory METHODS AND RESULTS: 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 patients CONCLUSION: 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.
(© 2022 Wiley Periodicals LLC.)
Databáze: MEDLINE
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