Key result
Cardiac catheterization carries a ~0.04% rate of cardiac perforation and tamponade, with complete recovery.
Observational (n=6,675)
No
Cardiac perforation with tamponade is a rare complication of cardiac catheterization (0.04% incidence) that can be successfully managed with prompt pericardiocentesis and emergency surgery when needed.
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Rare perforation (0.04%) during catheterization requires tamponade preparedness; leaves open predictors in contemporary practice.
Among 6,675 adult patients undergoing cardiac catheterization in our institution, three patients developed cardiac perforation and tamponade (incidence 0.04%). Two perforations involved the left atrium, and one the right atrium. Tamponade developed in the three patients. Hemodynamic confirmation of tamponade was available in two patients. Pericardiocentesis was performed in all three patients. Two patients required emergency surgery. All patients recovered.
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Gehl et al. (1982) conducted an observational in Adult patients undergoing cardiac catheterization (n=6,675). Cardiac catheterization was evaluated on Cardiac perforation and tamponade.
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