Abstract
Over-insertion of a pulmonary artery catheter (PAC) can cause serious complications, such as pulmonary embolism and pulmonary artery rupture. Careful management is essential.
Highlights
Over-insertion of a pulmonary artery catheter (PAC) can cause serious complications, such as pulmonary embolism and pulmonary artery rupture
90% of injuries occur at the medial and inferior branches of the right pulmonary artery, because a PAC inserted from the right internal jugular vein will most often enter the right pulmonary artery [2]
Participants were patients in whom a PAC was inserted from the right internal jugular vein to the main or right pulmonary artery and who underwent surgery using cardiopulmonary bypass in the supine position
Summary
Over-insertion of a pulmonary artery catheter (PAC) can cause serious complications, such as pulmonary embolism and pulmonary artery rupture. The pulmonary artery catheter (PAC) is used for many diagnostic applications, including measuring pulmonary artery pressure, cardiac output, and mixed venous oxygen saturation [1]. Over-insertion may cause serious complications, such as pulmonary embolism and pulmonary artery rupture. 90% of injuries occur at the medial and inferior branches of the right pulmonary artery, because a PAC inserted from the right internal jugular vein will most often enter the right pulmonary artery [2]. There are numerous reports of complications arising from pulmonary artery ruptures following PAC insertion. Such injury has a lower frequency (at 0.03-0.7%)
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