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How to diagnose and treat cardiac tamponade in the electrophysiology laboratory

      As certain as death and taxes occur, complications will occur when invasive procedures are performed. Pericardial effusion, with or without tamponade, is a well-documented complication even in the most experienced centers.
      • Laborderie J.
      • Barandon L.
      • Ploux S.
      • et al.
      Management of subacute and delayed right ventricular perforation with a pacing or an implantable cardioverter-defibrillator lead.
      • Bunch T.J.
      • Asirvatham S.J.
      • Friedman P.A.
      • et al.
      Outcomes after cardiac perforation during radiofrequency ablation of the atrium.
      As a result, electrophysiologists should know how to recognize and manage this complication over the course of their careers. In most situations, the outcome is excellent if the complication is recognized and managed expeditiously; however, delay in diagnosis and treatment can lead to catastrophic results.

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