Use of an autologous blood recovery system during emergency pericardiocentesis in the electrophysiology laboratory

K. L. Venkatachalam, Lisa J. Fanning, Elaine A. Willis, Douglas S. Beinborn, David John Bradley, Yong-Mei Cha, Win Kuang Shen, Samuel J Asirvatham, Lawrence J. Sinak, Douglas L Packer, Thomas M. Munger, Paula J. Santrach, Paul Andrew Friedman

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Autotransfusion during Pericardiocentesis. Introduction: Emergency pericardiocentesis during electrophysiology procedures is often associated with significant aspiration of pericardial blood, requiring transfusion. We sought to assess the feasibility of urgent use of an autologous blood recovery system in the electrophysiology laboratory to autotransfuse blood aspirated from the pericardium. Methods and Results: We retrospectively analyzed Mayo Clinic electrophysiology records for patients who had ablation procedure-related pericardial effusions requiring emergency pericardial drainage during an 8-month period. An autologous blood recovery system was used during pericardiocentesis to separate and clean packed red blood cells from the pericardial aspirate. These cells were returned acutely to the patient intravenously. The procedural safety, aspirated and autotransfused volumes, and efficacy of this approach were evaluated. During the study period, nine patients underwent pericardial drainage with autotransfusion using a cell-salvage instrument during electrophysiology procedures. The mean aspirated volume was 1,078 mL, with a mean autotransfused volume of 390 mL. For four patients, all with aspirated volumes of 1,100 mL or less, autotransfusion alone was sufficient to maintain hemodynamic stability and avoid allogeneic transfusion. One patient required surgical intervention because of ongoing pericardial bleeding. The ablation procedure was completed after aspiration in two patients. No procedural complications related to the use of the cell-salvage system occurred. Conclusion: Autologous blood recovery during pericardiocentesis is safe, convenient, and feasible. With early use it may decrease or eliminate the need for allogeneic blood transfusion and, in selected cases, may permit completion of the ablation procedure.

Original languageEnglish (US)
Pages (from-to)280-283
Number of pages4
JournalJournal of Cardiovascular Electrophysiology
Volume20
Issue number3
DOIs
StatePublished - Mar 2009

Fingerprint

Pericardiocentesis
Electrophysiology
Emergencies
Autologous Blood Transfusions
Blood Transfusion
Drainage
Pericardial Effusion
Pericardium
Erythrocytes
Hemodynamics
Hemorrhage
Safety

Keywords

  • Ablation
  • Electrophysiology
  • Pericardial effusion
  • Pericardiocentesis
  • Transfusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Use of an autologous blood recovery system during emergency pericardiocentesis in the electrophysiology laboratory. / Venkatachalam, K. L.; Fanning, Lisa J.; Willis, Elaine A.; Beinborn, Douglas S.; Bradley, David John; Cha, Yong-Mei; Shen, Win Kuang; Asirvatham, Samuel J; Sinak, Lawrence J.; Packer, Douglas L; Munger, Thomas M.; Santrach, Paula J.; Friedman, Paul Andrew.

In: Journal of Cardiovascular Electrophysiology, Vol. 20, No. 3, 03.2009, p. 280-283.

Research output: Contribution to journalArticle

Venkatachalam, K. L. ; Fanning, Lisa J. ; Willis, Elaine A. ; Beinborn, Douglas S. ; Bradley, David John ; Cha, Yong-Mei ; Shen, Win Kuang ; Asirvatham, Samuel J ; Sinak, Lawrence J. ; Packer, Douglas L ; Munger, Thomas M. ; Santrach, Paula J. ; Friedman, Paul Andrew. / Use of an autologous blood recovery system during emergency pericardiocentesis in the electrophysiology laboratory. In: Journal of Cardiovascular Electrophysiology. 2009 ; Vol. 20, No. 3. pp. 280-283.
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AU - Fanning, Lisa J.

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AU - Bradley, David John

AU - Cha, Yong-Mei

AU - Shen, Win Kuang

AU - Asirvatham, Samuel J

AU - Sinak, Lawrence J.

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AU - Munger, Thomas M.

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AU - Friedman, Paul Andrew

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KW - Ablation

KW - Electrophysiology

KW - Pericardial effusion

KW - Pericardiocentesis

KW - Transfusion

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