{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:26:03Z","timestamp":1778502363523,"version":"3.51.4"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Pericardiocentesis is frequently performed when fluid needs to be removed from the pericardial sac, for both therapeutic and diagnostic purposes, however, it can still be a high-risk procedure in inexperienced hands and\/or an emergent setting.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 78-year-old male made an emergency call complaining of the back pain. When the ambulance crew arrived at his home, he was in a state of shock due to cardiac tamponade diagnosed by portable echocardiography. The pericardiocentesis was performed using a puncture needle on site, and the patient was immediately transferred to our hospital by helicopter. Contrast-enhanced computed tomography showed a small protrusion of contrast media on the inferior wall of the left ventricle, suggesting cardiac rupture due to acute myocardial infarction. Emergency coronary angiography was then performed, which confirmed occlusion of the posterior descending branch of the left circumflex coronary artery. In addition, extravasation of contrast medium due to coronary artery perforation was observed in the acute marginal branch of the right coronary artery. We considered that coronary artery perforation had occurred as a complication of the pericardial puncture. We therefore performed transcatheter coil embolization of the perforated branch, and angiography confirmed immediate vessel sealing and hemostasis. After the procedure, the patient made steady progress without a further increase in pericardial effusion, and was discharged on the 50th day after admission.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>When performing pericardial drainage, it is important that the physician recognizes the correct procedure and complications of pericardiocentesis, and endeavors to minimize the occurrence of serious complications. As with the patient presented, coil embolization is an effective treatment for distal coronary artery perforation caused by pericardiocentesis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12872-021-01875-0","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:06:26Z","timestamp":1611839186000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Coronary artery perforation secondary to lifesaving pericardiocentesis for cardiac tamponade: a case report"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5314-5295","authenticated-orcid":false,"given":"Daisuke","family":"Kanda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuro","family":"Takumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Sonoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Arikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Anzaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichi","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuru","family":"Ohishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"1875_CR1","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/j.tcm.2018.10.016","volume":"29","author":"PR Sinnaeve","year":"2019","unstructured":"Sinnaeve PR, Adriaenssens T. A contemporary look at pericardiocentesis. Trends Cardiovasc Med. 2019;29:375\u201383.","journal-title":"Trends Cardiovasc Med"},{"key":"1875_CR2","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/S0025-6196(11)62211-8","volume":"77","author":"TS Tsang","year":"2002","unstructured":"Tsang TS, Enriquez-Sarano M, Freeman WK, Barnes ME, Sinak JL, Gersh BJ, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc. 2002;77:429\u201336.","journal-title":"Mayo Clin Proc"},{"key":"1875_CR3","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1159\/000368796","volume":"130","author":"MY Ho","year":"2015","unstructured":"Ho MY, Wang JL, Lin YS, Mao C-T, Tsai M-L, Wen M-S, et al. Pericardiocentesis adverse event risk factors: a nationwide population-based cohort study. Cardiology. 2015;130:37\u201345.","journal-title":"Cardiology"},{"key":"1875_CR4","doi-asserted-by":"publisher","first-page":"2279","DOI":"10.1093\/eurheartj\/ehu217","volume":"35","author":"AD Risti\u0107","year":"2014","unstructured":"Risti\u0107 AD, Imazio M, Adler Y, Anastasakis A, Badano LP, Brucato A, et al. Triage strategy for urgent management of cardiac tamponade: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2014;35:2279\u201384.","journal-title":"Eur Heart J"},{"key":"1875_CR5","doi-asserted-by":"publisher","first-page":"2725","DOI":"10.1161\/01.CIR.90.6.2725","volume":"90","author":"SG Ellis","year":"1994","unstructured":"Ellis SG, Ajluni S, Arnold AZ, Popma JJ, Bittl JA, Eigler NL, et al. Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation. 1994;90:2725\u201330.","journal-title":"Circulation"},{"key":"1875_CR6","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.jcin.2010.08.026","volume":"4","author":"R Al-Lamee","year":"2011","unstructured":"Al-Lamee R, Ielasi A, Latib A, Godino C, Ferraro M, Mussardo M, et al. Incidence, predictors, management, immediate and long-term outcomes following grade III coronary perforation. JACC Cardiovasc Interv. 2011;4:87\u201395.","journal-title":"JACC Cardiovasc Interv"},{"key":"1875_CR7","doi-asserted-by":"publisher","first-page":"e121","DOI":"10.1016\/j.hlc.2019.03.008","volume":"28","author":"A May","year":"2019","unstructured":"May A, Bhagwandeen R, Collins N. Contemporary management of coronary artery perforation. Heart Lung Circ. 2019;28:e121\u20135.","journal-title":"Heart Lung Circ"},{"issue":"1","key":"1875_CR8","doi-asserted-by":"publisher","first-page":"e010940","DOI":"10.1161\/JAHA.118.010940","volume":"8","author":"A Verevkin","year":"2019","unstructured":"Verevkin A, Aspern K, Leontyev S, Lehmann S, Borger MA, Davierwala PM. Early and long-term outcomes in patients undergoing cardiac surgery following iatrogenic injuries during percutaneous coronary intervention. J Am Heart Assoc. 2019;8(1):e010940.","journal-title":"J Am Heart Assoc"},{"key":"1875_CR9","first-page":"E222","volume":"19","author":"FA Ponnuthurai","year":"2007","unstructured":"Ponnuthurai FA, Ormerod OJ, Forfar C. Microcoil embolization of distal coronary artery perforation without reversal of anticoagulation: a simple, effective approach. J Invasive Cardiol. 2007;19:E222\u20135.","journal-title":"J Invasive Cardiol"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-021-01875-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12872-021-01875-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-021-01875-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:20:35Z","timestamp":1611840035000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-021-01875-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,28]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1875"],"URL":"https:\/\/doi.org\/10.1186\/s12872-021-01875-0","relation":{},"ISSN":["1471-2261"],"issn-type":[{"value":"1471-2261","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,28]]},"assertion":[{"value":"9 September 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The patient gave written consent to participate in the study.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"55"}}