{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:11:33Z","timestamp":1761808293935,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T00:00:00Z","timestamp":1563753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Acute cardiac tamponade (ACT) is the most common life\u2010threatening complication of interventional electrophysiology. Urgent drainage by percutaneous pericardiocentesis and anticoagulation reversal are required. Immediate direct transfusion of the blood volume aspirated from the pericardial space to the patient has been rarely described. This study was designed to assess the efficacy and safety of immediate direct autologous blood transfusion (AutoBT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective case series of direct AutoBT performed for ACT was collected. Urgent drainage by percutaneous pericardiocentesis and immediate direct AutoBT were performed to achieve hemodynamic stabilization without a cell\u2010saver system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two electrophysiology centers were contacted to participate in the case series. Fourteen centers reported not to use direct AutoBT. Three centers reported using direct AutoBT with the cell\u2010saver system. Fourteen cases of immediate direct AutoBT without cell\u2010saver system were included from the five remaining centers. Electrophysiological procedures were performed for ventricular tachycardia (n\u2009=\u20095), atrial fibrillation (n\u2009=\u20095), atrial tachycardia (n\u2009=\u20092), left accessory pathway (n\u2009=\u20091), and premature ventricular contraction (n\u2009=\u20091) with transseptal (n\u2009=\u20099), retroaortic (n\u2009=\u20094), and\/or epicardial access (n\u2009=\u20094). Pericardial drainage was performed by percutaneous pericardiocentesis for 13 patients and via the transseptal sheath for one patient. Surgical hemostasis was required for seven patients. The mean volume of autologous blood directly transfused was 1207\u2009\u00b1\u2009963\u2009mL. Direct AutoBT permitted to resume the procedure in four patients. No major complication related to the use of AutoBT occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Direct AutoBT without a cell\u2010saver system is a feasible, safe, and useful technique for salvage therapy in ACT in interventional electrophysiology.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14050","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T05:54:15Z","timestamp":1561528455000},"page":"1287-1293","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Management of acute cardiac tamponade by direct autologous blood transfusion in interventional electrophysiology"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8949-7348","authenticated-orcid":false,"given":"Christophe","family":"Beyls","sequence":"first","affiliation":[{"name":"P\u00f4le Cardio\u2010Thoracique Vasculaire Amiens\u2010Picardie University Hospital  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2392-3759","authenticated-orcid":false,"given":"Alexis","family":"Hermida","sequence":"additional","affiliation":[{"name":"P\u00f4le Cardio\u2010Thoracique Vasculaire Amiens\u2010Picardie University Hospital  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4367-1117","authenticated-orcid":false,"given":"Josselin","family":"Duchateau","sequence":"additional","affiliation":[{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Universit\u00e9, F\u2010\/ Bordeaux University Hospital (CHU) Electrophysiology and Ablation Unit\/Univ. Bordeaux, Centre de recherche Cardio\u2010Thoracique de Bordeaux  Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4800-1841","authenticated-orcid":false,"given":"Philippe","family":"Maury","sequence":"additional","affiliation":[{"name":"P\u00f4le Cardiologie et M\u00e9tabolique Toulouse University Hospital. H\u00f4pital Rangueil  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Taieb","sequence":"additional","affiliation":[{"name":"Service de Cardiologie et Maladies Vasculaires Aix en Provence Hospital  Aix\u2010en\u2010Provence France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Laurent","sequence":"additional","affiliation":[{"name":"Service de Rythmologie et Insuffisance Cardiaque Dijon\u2010Bourgogne University Hospital  Dijon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maciej","family":"Kubala","sequence":"additional","affiliation":[{"name":"P\u00f4le Cardio\u2010Thoracique Vasculaire Amiens\u2010Picardie University Hospital  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amar","family":"Ben Amar","sequence":"additional","affiliation":[{"name":"P\u00f4le Cardio\u2010Thoracique Vasculaire Amiens\u2010Picardie University Hospital  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederic","family":"Sacher","sequence":"additional","affiliation":[{"name":"IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Universit\u00e9, F\u2010\/ Bordeaux University Hospital (CHU) Electrophysiology and Ablation Unit\/Univ. 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