Pulmonary Artery Catheter Entrapment Research Articles

The Entrapped Pulmonary Artery Catheter

ALTHOUGH USE of the pulmonary artery catheter (PAC) continues to decline because of a lack of robust evidence proving benefit and/or presence of some evidence supporting the notion that it may cause harm, it continues to be used by many clinicians.1-3 Complications of PAC insertion and/or use thankfully are rare yet can be deadly.4 PAC entrapment is quite rare and usually occurs during cardiac surgery when the catheter is inadvertently sutured to a portion of the heart.5 The authors report here 2 cases of PAC entrapment in patients undergoing cardiac surgery.

Entrapment of pulmonary artery catheter in superior vena caval cannulation site during cardiac surgery

A pulmonary artery catheter (PAC) is a useful tool for monitor haemodynamics during cardiac surgery in patients with compromised ventricular function and helps in the perioperative patient management. During open heart surgery entrapment of a Swan-Ganz catheter to an intracardiac structure is rare but may lead to potentially life-threatening complications. Here, we report a case of an entrapped pulmonary artery catheter by accidental surgical suturing at the entry point of Superior vena cava into right atrium that necessitated reopening the chest and removing the catheter.

SHA 033. Pulmonary artery catheter entrapment in cardiac surgery

A pulmonary artery catheter (PAC) is an important tool in the preoperative cardiac management, and it provides measurements which helps in the patient management. During open heart surgery the catheter tends to rest against the anterior lateral wall of the right atrium where the catheter may be caught by a suture in the cannulation for cardiopulmonary bypass. We describe a very rare complication which is inadvertent surgical suturing of the PAC to the inferior vena cava that necessitated reopening the chest, cutting, the suture and removing the catheter. Chest X-ray can be helpful in the diagnosis of PAC entrapment due to suture fixation. Angulation of the catheter is an important diagnostic sign.

SHA 034. Peripheral cannulation of right heart for complex cardiac procedures

A pulmonary artery catheter (PAC) is an important tool in the preoperative cardiac management, and it provides measurements which helps in the patient management. During open heart surgery the catheter tends to rest against the anterior lateral wall of the right atrium where the catheter may be caught by a suture in the cannulation for cardiopulmonary bypass. We describe a very rare complication which is inadvertent surgical suturing of the PAC to the inferior vena cava that necessitated reopening the chest, cutting, the suture and removing the catheter. Chest X-ray can be helpful in the diagnosis of PAC entrapment due to suture fixation. Angulation of the catheter is an important diagnostic sign.

SHA 035. Prevalence of abnormal myocardial perfusion single photon computed tomography in patients with end stage liver disease

A pulmonary artery catheter (PAC) is an important tool in the preoperative cardiac management, and it provides measurements which helps in the patient management. During open heart surgery the catheter tends to rest against the anterior lateral wall of the right atrium where the catheter may be caught by a suture in the cannulation for cardiopulmonary bypass. We describe a very rare complication which is inadvertent surgical suturing of the PAC to the inferior vena cava that necessitated reopening the chest, cutting, the suture and removing the catheter. Chest X-ray can be helpful in the diagnosis of PAC entrapment due to suture fixation. Angulation of the catheter is an important diagnostic sign.

Pulmonary artery catheter entrapment in cardiac surgery

A pulmonary artery catheter (PAC) is an important tool in the preoperative cardiac management, and it provides measurements which helps in the patient management During open heart surgery the catheter tends to rest against the anterior lateral wall of the right atrium where the catheter may be caught by a suture in the cannulation for cardiopulmonary bypass. We describe a very rare complication which is inadvertent surgical suturing of the PAC to the inferior vena cava that necessitated reopening the chest, cutting, the suture and removing the catheter.

Transesophageal Echocardiography Is Useful for an Intraoperative Diagnosis of Pulmonary Artery Catheter Entrapment

Transesophageal Echocardiography Is Useful for an Intraoperative Diagnosis of Pulmonary Artery Catheter Entrapment

Transoesophageal echocardiography: a useful tool to diagnose entrapment of pulmonary artery catheter

Placement of a pulmonary artery catheter during cardiac surgery is associated with various complications, one of which is entrapment. On the day following surgery unusual resistance was encountered while attempting to remove a pulmonary artery catheter from a patient who had undergone coronary artery bypass grafting. Entrapment of the catheter was confirmed by transoesophageal echocardiography, which demonstrated invagination of the free wall of the pulmonary trunk on gentle traction on the pulmonary artery catheter. Surgical exploration revealed that the catheter was transfixed by the suture used to close the pulmonary artery vent site. Surgical re-exploration and other potential complications related to catheter retrieval can be avoided if catheter entrapment is diagnosed intra-operatively. We suggest that a high index of clinical suspicion along with the use of intra-operative transoesophageal echocardiography is considered in situations where catheter entrapment is a possibility.

Entrapment of Pulmonary Artery Catheter in the Purse-String Suture at the Inferior Vena Cava Cannulation Site: A case report

A 63-year-old female with mitral stenoinsufficiency (stenosis and insufficiency) underwent mitral valve replacement. Under general anesthesia, pulmonary artery catheter (PAC) was inserted via the right internal jugular vein. Because the PAC function was normal in perioperative period we didn't recognize the entrapment of the PAC. But on attempting reposition of catheter in postoperative period, we encountered resistance, and postoperative chest X-ray revealed the catheter formed acute angle near right atrial wall. We suspected entrapment of PAC and decided to repeat sternotomy to release the PAC. We found the PAC encircled in the purse-string suture at the inferior vena cava cannulation site. The PAC was removed without any complications.

Left Atriotomy Entrapment of Pulmonary Artery Catheter during Mitral Valve Replacement -A case report-

A 51-yr-old man underwent mitral valve replacement and tricuspid valve repair due to mitral and tricuspid regurgitation under cardiopulmonary bypass. The pulmonary artery (PA) catheter was inserted easily via right internal jugular vein and functioned well until the end of surgery. The surgery was uneventful and patient's hemodynamics were stable both in the operating room and intensive care unit. All PA catheter functions were normal, but the balloon rupture was suspected because it was unable to obtain pulmonary capillary wedge pressure. On attempted removal of the PA catheter at the next day, considerable resistance was encountered and pulmonary artery tracing was dampened. A followed-up chest X-ray revealed the catheter to be in the right pulmonary artery without evidence of knotting. Suture related entrapment was suspected, and on reoperation, PA catheter was found to be sutured at the left atriotomy site. The PA catheter was removed under cardiopulmonary bypass and revealed a hole between proximal port and thermal filament.

Entrapment of pulmonary artery catheter in a suture at the inferior vena cava cannulation site

Entrapment of a pulmonary artery catheter (Swan-Ganz catheter) in the heart, vena cava, or pulmonary artery is a very rare and serious complication that may lead to life-threatening complications such as cardiac rupture, pulmonary artery rupture, cardiac tamponade, among others, if not recognized and treated early. We report entrapment of a Swan-Ganz catheter in the purse-string suture at the inferior vena cava cannulation site for a patient undergoing aortic valve replacement. This situation required a repeat sternotomy to release the pulmonary artery catheter.

Bleeding from a pulmonary artery catheter temperature connection port

p ERIOPERATIVE MONITORING with a balloon-tipped flow-directed pulmonary artery catheter (PAC) has been used clinically since 1970.1 The use of a PAC for cardiac surgical patients has become common practice, with low morbidity and mortality. However, significant complications during the insertion and use of this monitor include hematoma, 2 carotid artery puncture, 2 arrhythmias, 3,4 Homer's syndrome, 5 pulmonary artery embolism or rupture, sepsis, pneumothorax, catheter knotting, or entrapment by sutures. 1,6-8 This report describes two unusual presentations of PAC entrapment by sutures not reported in the earlier literature.

Pulmonary artery catheter entrapment

Pulmonary artery catheter entrapment