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Cardiac tamponade related with cardiopulmonary resuscitation (CPR) has been reported. Here, we describe our experience with cardiac tamponade after extracorporeal cardiopulmonary resuscitation.
A 62‐year‐old man presented with post‐epidural abscess. Soon after the iopamidol injection (100 mL) for cranial contrast computed tomography, the patient complained of a general heat sensation and then went into cardiopulmonary arrest due to iopamidol‐related anaphylaxis. Cardiopulmonary resuscitation was immediately carried out, and spontaneous circulation returned 23 min later. However, a state of pulseless electrical activity occurred 7 min after repeated resuscitation. Therefore, we decided to introduce veno‐arterial extracorporeal membrane oxygenation (ECMO); the cannulation was carried out from the right side of the femoral artery and vein. Satisfactory blood pressure was achieved 55 min after the cardiopulmonary arrest. Echocardiography did not indicate a cardiogenic cause or pericardial effusion at this time (Fig. A). The ECMO...