Direct autotransfusion following emergency pericardiocentesis in patients undergoing cardiac electrophysiology procedures.
Aged
Aged, 80 and over
Anticoagulants
/ therapeutic use
Blood Transfusion, Autologous
/ adverse effects
Cardiac Tamponade
/ diagnostic imaging
Catheter Ablation
/ adverse effects
Emergencies
Feasibility Studies
Female
Humans
Male
Middle Aged
Pericardial Effusion
/ diagnostic imaging
Pericardiocentesis
/ adverse effects
Retrospective Studies
Treatment Outcome
catheter ablation
hemopericardium
left atrial appendage occlusion
tamponade
transfusion
Journal
Journal of cardiovascular electrophysiology
ISSN: 1540-8167
Titre abrégé: J Cardiovasc Electrophysiol
Pays: United States
ID NLM: 9010756
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
10
01
2020
revised:
05
03
2020
accepted:
19
03
2020
pubmed:
4
4
2020
medline:
13
4
2021
entrez:
4
4
2020
Statut:
ppublish
Résumé
Acute hemopericardium during cardiac electrophysiology (EP) procedures may result in significant blood loss and is the most common cause of procedure-related death. Matched allogeneic blood is often not immediately available. The feasibility and safety of direct autotransfusion in cardiac electrophysiology patients requiring emergency pericardiocentesis is unknown. We retrospectively analyzed records of patients undergoing EP procedures at a single, tertiary care medical center who had procedure-related acute hemopericardium requiring emergency pericardiocentesis during a 3-year period. Procedure details, transfusion volumes, and clinical outcomes of patients who received direct autotransfusion of aspirated pericardial blood via a femoral venous sheath were compared to those of patients who did not receive direct autotransfusion. During the study period, 10 patients received direct autotransfusion (group 1) and outcomes were compared with those of 14 control patients who did not receive direct autotransfusion (group 2). The volume of aspirated pericardial blood was similar in groups 1 and 2 (1.6 ± 0.7 L vs 1.3 ± 1.0 L, respectively; P = .52). Amongst patients with aspirated volumes <1 L, group 1 patients (n = 4) were less likely than group 2 patients (n = 8) to require allotransfusion (0% vs 75%, P = .02). Amongst patients with aspirated volume ≥1 L, group 1 patients (n = 6) required fewer units of red cell allotransfusion than group 2 patients (n = 6) (1.5 ± 0.8 units vs 4.3 ± 2.0 units, P = .01). No procedural complications related to direct autotransfusion occurred. Direct autotransfusion following emergency pericardiocentesis during electrophysiology procedures requiring systemic anticoagulation is feasible and safe. The utilization of direct autotransfusion may eliminate or reduce the need for allotransfusion.
Substances chimiques
Anticoagulants
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1379-1384Informations de copyright
© 2020 Wiley Periodicals, Inc.
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