中国介入心脏病学杂志2024,Vol.32Issue(3) :172-174.DOI:10.3969/j.issn.1004-8812.2024.03.009

干性心包穿刺术中损伤冠状动脉致心脏压塞1例

Cardiac tamponade secondary to coronary artery injury during dry pericardiocentesis:a case report

左嵩 龙德勇 薄小雯 甄雷 蒋晨曦 桑才华 董建增 马长生
中国介入心脏病学杂志2024,Vol.32Issue(3) :172-174.DOI:10.3969/j.issn.1004-8812.2024.03.009

干性心包穿刺术中损伤冠状动脉致心脏压塞1例

Cardiac tamponade secondary to coronary artery injury during dry pericardiocentesis:a case report

左嵩 1龙德勇 1薄小雯 1甄雷 1蒋晨曦 1桑才华 1董建增 1马长生1
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作者信息

  • 1. 首都医科大学附属北京安贞医院心内科,北京 100029
  • 折叠

摘要

干性心包穿刺术作为建立心外膜通路的关键技术,自1996年首次报道至今已广泛应用于室性心动过速等存在心外膜通路介导的复杂心律失常的治疗之中.近年来,随着室性心律失常消融在全国的逐步推广及普及,该技术临床需求日益增大.然而,干性心包穿刺术操作极富挑战性,常遇到穿刺操作相关并发症,对患者的生命安全造成了巨大威胁.本文报道1例干性心包穿刺时损伤冠状动脉分支导致心脏压塞的病例,通过及时给予冠状动脉内球囊扩张进行压迫止血,成功解除了患者的生命危险,为将来临床中出现相似病例的处理提供宝贵的临床经验和依据.

Abstract

Dry pericardiocentesis,as a key technology for establishing epicardial access,has been widely used in treating complex arrhythmias mediated by epicardial access,such as ventricular tachycardia,since it was first reported in 1996.In recent years,with the gradual promotion and popularization of ventricular arrhythmia ablation across the country,the clinical demand for this technology is increasing fast.However,dry pericardiocentesis is extremely challenging,and puncture-related complications are often encountered,posing a huge threat to the patient's life safety.This article reports a case of cardiac tamponade caused by damage to a coronary artery branch during dry pericardiocentesis.By timely intra-coronary balloon dilation for compression and hemostasis,the patient's life risk was successfully relieved,and it provides a valuable clinical experience for the treatment of similar cases in future clinical cases.

关键词

干性心包穿刺/室性心动过速/心脏压塞

Key words

Dry pericardiocentesis/Ventricular tachycardia/Cardiac tamponade

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基金项目

国家重点研发计划(2016YFC1301002)

国家重点研发计划(2016YFC0900901)

国家自然科学基金(82000322)

出版年

2024
中国介入心脏病学杂志
北京大学

中国介入心脏病学杂志

CSTPCDCSCD
影响因子:1.224
ISSN:1004-8812
参考文献量11
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