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Dialysis Catheter-Induced Pericardial Tamponade-Reply

Dialysis Catheter-Induced Pericardial Tamponade-Reply Abstract In Reply. —In reporting our case of fatal pericardial tamponade caused by perforation of the right ventricle by a dialysis catheter, we tried to offer some advice concerning safeguards in the use of this valuable technique.Dr Patel offers an additional means of diagnosing this serious complication. Although cardiac ultrasonography may indeed be an extremely valuable diagnostic procedure, we cannot enthusiastically recommend it in this situation for the following reasons.The equipment necessary to do ultrasonography, particularly two-dimensional real-time ultrasonography, may not be generally available in smaller institutions as yet. Even if it is available, the equipment requires a skilled technician and a cardiologist specifically trained in this technique to make the procedure useful. Although cardiac ultrasound may demonstrate the catheter in the cardiac chambers, the demonstration of the exact location of the catheter tip is sometimes difficult. Although cardiac ultrasound may demonstrate small amounts of pericardial fluid, pericardial tamponade References 1. Sheep RE, Guinley WB Jr: Fatal cardiac tamponade. JAMA 1982;248:1632-1635.Crossref 2. Henzel JH, DeWeese MS: Morbid and mortal complications associated with prolonged central venous cannulation. Am J Surg 1971;121:600-605.Crossref 3. Dosios TJ, Magovern GJ, Gay TC, et al: Cardiac tamponade complicating percutaneous catherization of the subclavian vein. Surgery 1975;78:261-263. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Dialysis Catheter-Induced Pericardial Tamponade-Reply

Archives of Internal Medicine , Volume 143 (1) – Jan 1, 1983

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350010193043
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply. —In reporting our case of fatal pericardial tamponade caused by perforation of the right ventricle by a dialysis catheter, we tried to offer some advice concerning safeguards in the use of this valuable technique.Dr Patel offers an additional means of diagnosing this serious complication. Although cardiac ultrasonography may indeed be an extremely valuable diagnostic procedure, we cannot enthusiastically recommend it in this situation for the following reasons.The equipment necessary to do ultrasonography, particularly two-dimensional real-time ultrasonography, may not be generally available in smaller institutions as yet. Even if it is available, the equipment requires a skilled technician and a cardiologist specifically trained in this technique to make the procedure useful. Although cardiac ultrasound may demonstrate the catheter in the cardiac chambers, the demonstration of the exact location of the catheter tip is sometimes difficult. Although cardiac ultrasound may demonstrate small amounts of pericardial fluid, pericardial tamponade References 1. Sheep RE, Guinley WB Jr: Fatal cardiac tamponade. JAMA 1982;248:1632-1635.Crossref 2. Henzel JH, DeWeese MS: Morbid and mortal complications associated with prolonged central venous cannulation. Am J Surg 1971;121:600-605.Crossref 3. Dosios TJ, Magovern GJ, Gay TC, et al: Cardiac tamponade complicating percutaneous catherization of the subclavian vein. Surgery 1975;78:261-263.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1983

References