Key result
Fluoroscopy-guided percutaneous pericardiocentesis via a subxiphoid approach can rarely result in transection of the left internal mammary artery, leading to hemorrhagic pericardial effusion and tamponade.
Population
One patient undergoing pericardiocentesis
Design
Case report
Authors
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Rare post-pericardiocentesis hemorrhagic effusion signals procedural caution; leaves open incidence and prevention data.
Case Report (n=1)
No
This case highlights that left internal mammary artery transection is a rare but potentially catastrophic complication of pericardiocentesis, even when utilizing the typically safe subxiphoid approach.
Nair et al. (2020) conducted a case report in Pericardial effusion (n=1). Fluoroscopy-guided percutaneous pericardiocentesis via subxiphoid approach was evaluated on Complication (Left Internal Mammary Artery Transection). Fluoroscopy-guided percutaneous pericardiocentesis via a subxiphoid approach can rarely result in transection of the left internal mammary artery, leading to hemorrhagic pericardial effusion and tamponade.
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