Key result
Microcoil and gel-foam embolization successfully resolves post-pericardiocentesis internal mammary artery pseudoaneurysm.
Why the study?
Ultrasound guidance has dramatically decreased pericardiocentesis complications, but post-traumatic internal mammary artery pseudoaneurysm remains a rare complication of the procedure.
Case Report (n=1)
No
Supports embolization for rare post-pericardiocentesis internal mammary pseudoaneurysm; leaves open incidence and approach-specific risks.
Before the advent of ultrasound, percutaneous pericardiocentesis was associated with relatively high mortality and complication rates (6% and 20-50%, respectively) [1-3]. Ultrasound (US)-guided pericardiocentesis has dramatically decreased the incidence of complications by direct visualization of the heart and other adjacent vital structures. US helps localize the size and location of the pericardial effusion, measure the distance from the chest wall, localize adjacent, vital organs, and determine the optimal access site to the effusion. We report a case of posttraumatic internal mammary artery pseudoaneurysm, a rare complication of pericardiocentesis.
No takes yet. Share an insight, caveat, or question.
Buch et al. (2014) conducted a case report in Post-traumatic left internal mammary artery pseudoaneurysm following ultrasound-guided pericardiocentesis (n=1). Microcoil and gel-foam embolization was evaluated on Resolution of pseudoaneurysm hemorrhage and hemodynamic stabilization. Microcoil and gel-foam embolization successfully treated a 15.3x9.3x10.9 cm left breast hematoma from a left internal mammary artery pseudoaneurysm after apical US-guided pericardiocentesis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: