First report of dabigatran reversal in iatrogenic pericardial tamponade during catheter ablation of atrial fibrillation Jared D. Miller, MD, Jeffrey.

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Presentation transcript:

First report of dabigatran reversal in iatrogenic pericardial tamponade during catheter ablation of atrial fibrillation Jared D. Miller, MD, Jeffrey A. Brinker, MD, David D. Spragg, MD, FHRS HeartRhythm Case Reports Volume 3, Issue 12, Pages 566-567 (December 2017) DOI: 10.1016/j.hrcr.2017.07.006 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Mean arterial blood pressure in mm Hg over time during the case. At blue arrow (1), a diagnostic electrophysiology study on isoproterenol was completed. At (2), transseptal puncture was performed. At (3), hypotension was noted, effusion was observed, and protamine was administered. At (4), idaracizumab was requested from our pharmacy. At (5), idaracizumab was administered. Red arrows indicate administration of bolus doses of vasopressor agent. HeartRhythm Case Reports 2017 3, 566-567DOI: (10.1016/j.hrcr.2017.07.006) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Intracardiac echocardiography displaying a short-axis view of the left ventricle, and a posterolateral pericardial effusion (white arrow). HeartRhythm Case Reports 2017 3, 566-567DOI: (10.1016/j.hrcr.2017.07.006) Copyright © 2017 Heart Rhythm Society Terms and Conditions