Clinical Medicine Insights: Cardiology (Jun 2022)

Iatrogenic Pericarditis and Cardiac Tamponade Following Distal Wire Perforation: A Serial Case Report

  • Achmad Fauzi Yahya,
  • Minsy Titi Sari,
  • Aninka Saboe

DOI
https://doi.org/10.1177/11795468221108211
Journal volume & issue
Vol. 16

Abstract

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Distal wire perforation is an infrequent percutaneous coronary intervention (PCI) complication, which may progress to one of the fearful conditions, cardiac tamponade, and rarely to iatrogenic pericarditis. We described 2 cases of acute pericarditis and cardiac tamponade following distal guidewire coronary artery perforation that was successfully managed with pericardiocentesis, anti-inflammatory agents, and meticulous follow-up. Although uncommon, acute traumatic pericarditis may also be considered as a complication after a complex PCI.