{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T11:12:09Z","timestamp":1771845129855,"version":"3.50.1"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>We present a unique case of a broken fragment of a hypodermic needle breaking and embolizing to the heart. This needle subsequently penetrated the right ventricle and the patient developed hemopericardium which resulted in cardiac tamponade physiology.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Data Sources:<\/jats:title>\n            <jats:p>None.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Study Selection:<\/jats:title>\n            <jats:p>None.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Data Extraction:<\/jats:title>\n            <jats:p>None.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Data Synthesis:<\/jats:title>\n            <jats:p>Recognizing the potential for unusual and serious complications of IV illicit drug use is an important part of providing effective and timely medical care in this vulnerable population.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>An embolic needle phenomenon can have significant sequela, including direct cardiac trauma leading to tamponade and subsequent cardiac collapse. Partnering with the patient to take a detailed history was critical in uncovering the underlying etiology of this patient\u2019s cardiogenic shock.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/cce.0000000000000038","type":"journal-article","created":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T22:58:17Z","timestamp":1565391497000},"page":"e0038","source":"Crossref","is-referenced-by-count":6,"title":["Embolic Hypodermic Needle Causing Traumatic Cardiac Tamponade: A Case Report"],"prefix":"10.1097","volume":"1","author":[{"given":"Albert F.","family":"Yen","sequence":"first","affiliation":[{"name":"Division of Critical Care, Department of Anesthesiology and Perioperative Care, University of California, San Francisco, San Francisco, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina M.","family":"Homer","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California, San Francisco, San Francisco, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Mohapatra","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California, San Francisco, San Francisco, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Langnas","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Care, University of California, San Francisco, San Francisco, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Gomez","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care, Department of Medicine, University of California, San Francisco, San Francisco, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn M.","family":"Hendrickson","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care, Department of Medicine, University of California, San Francisco, San Francisco, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2019,8]]},"reference":[{"key":"R1-20230728","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.pcad.2016.12.009","article-title":"Pericardial effusions: Causes, diagnosis, and management.","volume":"59","author":"Vakamudi","year":"2017","journal-title":"Prog Cardiovasc Dis"},{"key":"R2-20230728","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1055\/s-2002-19388","article-title":"Hemopericardium caused by ingested safety pin.","volume":"34","author":"Kalayci","year":"2002","journal-title":"Endoscopy"},{"key":"R3-20230728","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1017\/S1047951116000809","article-title":"Sewing needle: A rare cause of intra-cardiac foreign body in a 3-year-old child.","volume":"26","author":"Choudhary","year":"2016","journal-title":"Cardiol 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and broken needles\u2013a hidden risk?","volume":"98","author":"Norfolk","year":"2003","journal-title":"Addiction"},{"key":"R8-20230728","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1007\/s12593-014-0138-2","article-title":"Removal of a venous intraluminal needle: A case report.","volume":"7","author":"Wilson","year":"2015","journal-title":"J Hand Microsurg"},{"key":"R9-20230728","doi-asserted-by":"crossref","first-page":"714","DOI":"10.2484\/rcr.v7i3.714","article-title":"Needle embolism in intravenous drug abuse.","volume":"7","author":"Monroe","year":"2012","journal-title":"Radiol Case Rep"},{"key":"R10-20230728","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/0736-4679(93)90242-Y","article-title":"Embolization of illicit needle fragments.","volume":"11","author":"Kulaylat","year":"1993","journal-title":"J Emerg Med"},{"key":"R11-20230728","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/0736-4679(86)90217-9","article-title":"Needle emboli to lung following intravenous drug abuse.","volume":"4","author":"Angelos","year":"1986","journal-title":"J Emerg Med"},{"key":"R12-20230728","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1111\/j.1360-0443.1989.tb00557.x","article-title":"Central embolization of needle fragment following intravenous drug abuse.","volume":"84","author":"Gyrtrup","year":"1989","journal-title":"Br J Addict"},{"key":"R13-20230728","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1136\/emj.18.6.500","article-title":"Right ventricular needle embolus in an injecting drug user: The need for early removal.","volume":"18","author":"Ngaage","year":"2001","journal-title":"Emerg Med J"},{"key":"R14-20230728","doi-asserted-by":"crossref","first-page":"1786","DOI":"10.1016\/S0003-4975(98)00246-X","article-title":"Needle embolus causing cardiac puncture and chronic constrictive pericarditis.","volume":"65","author":"LeMaire","year":"1998","journal-title":"Ann Thorac 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