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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/11/27 12:06:09」(JST)

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Intracardiac injections are injections that are given directly into the heart muscles or ventricles. They are used in emergencies.^[1]

Procedure

Intracardiac injections of drugs were generally used only to provide emergency drugs to a patient if other approaches would be ineffective; for example if drugs could not be administered intravenously due to individual circumstances. The procedure is performed by inserting a long spinal needle into the ventricular chamber. The needle is inserted in the fourth intercostal space between the ribs.^[2] Today it is considered obsolete, and other routes to give drugs are preferred (i.e. via an endotracheal tube or intraosseus (direct in the bone))

Uses

nothing in this section

Complications

The two primary complications are injury to the coronary artery and haemorrhage within the pericardium, or tamponade (constriction of the cardiac blood vessels). The probability of complications can be reduced by using a narrow gauge of needle.^[2]

References

^ Eldor, J (September 1993). "Immediate intracardiac adrenaline injection in asystole". Lancet 342 (8873): 738–739. doi:10.1016/0140-6736(93)91729-6. PMID 8103835.
^ ^a ^b Robert Simon, Barry Brenner (2002). Emergency procedures and techniques. p. 172. ISBN 978-0-7817-2699-3.

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English Journal

Endocarditis due to gram-negative bacilli at a French teaching hospital over a 6-year period: clinical characteristics and outcome.

Loubet P1, Lescure FX1,2,3, Lepage L4, Kirsch M4, Armand-Lefevre L2,3,5, Bouadma L6, Lariven S1, Duval X1, Yazdanpanah Y1,2,3, Joly V1,2,3.
Infectious diseases (London, England).Infect Dis (Lond).2015 Dec;47(12):889-95. Epub 2015 Aug 11.
BACKGROUND: Infective endocarditis (IE) due to gram-negative bacilli (GNB) is rare. However, several studies described a change in the epidemiological profile of patients within the past few years.METHODS: We reviewed all cases diagnosed and followed in the infectious diseases ward of a French teach
PMID 26260729

A diagnostic algorithm to optimize data collection and interpretation of Ripple Maps in atrial tachycardias.

Koa-Wing M1, Nakagawa H2, Luther V1, Jamil-Copley S1, Linton N1, Sandler B1, Qureshi N1, Peters NS1, Davies DW1, Francis DP1, Jackman W2, Kanagaratnam P3.
International journal of cardiology.Int J Cardiol.2015 Nov 15;199:391-400. doi: 10.1016/j.ijcard.2015.07.017. Epub 2015 Jul 23.
BACKGROUND: Ripple Mapping (RM) is designed to overcome the limitations of existing isochronal 3D mapping systems by representing the intracardiac electrogram as a dynamic bar on a surface bipolar voltage map that changes in height according to the electrogram voltage-time relationship, relative to
PMID 26247796

Biventricular repair for double outlet right ventricle with non-committed ventricular septal defect†.

Li S1, Ma K2, Hu S2, Hua Z2, Yan J2, Pang K2, Wang X2, Yan F2, Liu J2, Zhang S2, Chen Q2.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.Eur J Cardiothorac Surg.2015 Oct;48(4):580-7. doi: 10.1093/ejcts/ezu523. Epub 2015 Jan 21.
OBJECTIVES: Outcomes of biventricular repair for patients with double outlet right ventricle and non-committed ventricular septal defect (DORVncVSD) are not well defined. We aim to report our experience with biventricular repair of this anomaly in proposing an original surgical management that simpl
PMID 25612745

Japanese Journal

臨床経験下大静脈から右房に進展した静脈内平滑筋腫症の一期的摘出

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胸部外科 = The Japanese journal of thoracic surgery 68(3), 188-191, 2015-03
NAID 40020368998

日本心臓血管内視鏡学会を創立して29 年

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心臓血管内視鏡 1(1), 3-10, 2015
… Angioscopy and cardioscopy both conventional and fluorescent are now directed to cellular and molecular imaging of cardiovascular diseases, and also for guidance of intravascular and intracardiac surgery. …
NAID 130005069288

Cardiac manifestations in Behcets disease

, , ,
Intractable & Rare Diseases Research 4(2), 70-75, 2015
… Cardiac lesions include pericarditis, endocarditis, intracardiac thrombosis, myocardial infarction, endomyocardial fibrosis, and myocardial aneurysm. …
NAID 130005068932