Cardiac tamponade complicating proximal aortic dissection. Is pericardiocentesis harmful?
Why the study?
Does pericardiocentesis improve survival in patients with proximal aortic dissection complicated by cardiac tamponade?
Population
10 patients with proximal aortic dissection complicated by cardiac tamponade presenting to a single hospital…
Comparison
Pericardiocentesis while awaiting surgery vs No pericardiocentesis or unsuccessful…
Design
Case_series
Follow-up
In-hospital / peri-procedural
Authors
Discussion
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Member takes
Implication
Pericardiocentesis may precipitate fatal electromechanical dissociation in aortic dissection tamponade; hypothesis-generating and should not yet change practice.
Structured PICO
Does pericardiocentesis improve survival in patients with proximal aortic dissection complicated by cardiac tamponade?
P
Population
10 patients with proximal aortic dissection complicated by cardiac tamponade presenting to a single hospital over a 13-year period.
I
Intervention
Pericardiocentesis while awaiting surgery
C
Comparator
No pericardiocentesis or unsuccessful pericardiocentesis
O
Outcome
Survival or mortalityhard clinical
Pericardiocentesis in patients with cardiac tamponade complicating proximal aortic dissection may be harmful and precipitate fatal electromechanical dissociation.
Limitations
- Small number of patients
Cite This Study
Isselbacher et al. (1994) studied this question.