A Novel Combined-Catheter to Monitor Left and Right Atrial Pressures

Ding, Jie; Zhang, Quanyi; Li, Lihuan; Zhang, Hao; Yan, Jun; Li, Shoujun; Yan, Fuxia

doi:10.1097/pcc.0000000000000641

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…If the LAP is too low, the anesthesiologist can provide uids. If the LAP is excessively high, regardless of whether the CVP is high or low, the anesthesiologist should use a positive inotropic medication instead of adding uid capacity 17 . Several studies have proven that the real-time hemodynamic input of the LAP can be used to re ect the left ventricular lling pressures variability in patients undergoing arterial switch surgery, common atrioventricular canal repair, and heart transplantation, among other procedures [18][19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

“…In this study, given that cardiac disease could in uence LA/RA size and hence ideal length, the parameters of RA diameter were incorporated. Ding and co-workers indicated that the catheter length in the LA should not be too long, and its length is usually 1.5-2.0 cm; however, no current data regarding the length or appropriate location and its exact impact factors are available 17 . Our ndings clearly showed that age, height, and weight correlated signi cantly with the OD of insertion.…”

Section: Discussionmentioning

confidence: 99%

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Optimal depth for left atrial pressure monitoring in pediatric open-heart surgery

Zhang,

Chen,

et al. 2024

Preprint

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Background Monitoring the left atrial pressure (LAP) is an important perioperative management tool for maintaining adequate cardiac output. This study aimed to devise a simple formula of left atrial catheterization to quantify the LAP in infants based on strongly correlated demographic and clinical characteristics. Methods 62 open-heart surgery infant patients, aged ≤ 1 year, who underwent right internal jugular vein (RIJV) catheterization to monitor the LAP, were enrolled in this study. Pearson correlation coefficient and multiple regression analysis were used to determine the association between the optimal depth and characteristics. A new simple formula was developed using regression analysis to predict the depth for the LAP measurement. Results The participants comprised 39 (62.9%) males and 23 (37.1%) females, of which 10 (16.1%) were preterm. The average age was 4.3 months; average weight, 5.4 kg; and average height, 60.0 cm. Age, height, and weight were strongly associated with the optimal depth, with height having the highest corrected determination coefficient (R2 = 0.832) and the most significant difference in multiple regression model (P < 0.001). Thus, we established a new height-based formula: depth (cm) = 5 + 0.1 × height (cm). The proportion of optimal depth determined by the new simplified formula was 88.7%. Conclusions Height was the most significant individual predictor of optimal depth in this study. The novel formula, depth = 5.0 + 0.1 × height (cm), is feasible and can be used to determine the optimal depth for monitoring the LAP via RIJV catheterization in pediatric open-heart surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Optimal depth for left atrial pressure monitoring in pediatric open-heart surgery

Zhang,

Chen,

et al. 2024

Preprint

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“…The surgeon positions the tip of the single-lumen catheter from right to left in the atrium during the transatrial surgical procedure after repairing the primary defect. This method avoids bleeding complications; however, the risk of infection or obstruction of the superior vena cava is increased [Zahorec 1997;Rao 1993;Ding 2016]. Besides, it is difficult to puncture the jugular vein twice in pediatric patients, especially in newborns.…”

Section: Discussionmentioning

confidence: 99%

“…Before removal of direct transthoracic monitoring catheters, it's recommended that cross-matched blood and platelets be available and that patients be checked for coagulopathies [Ding 2016].…”

Section: Discussionmentioning

confidence: 99%

Monitoring Left Atrial Pressure With a Useful Epidural Catheter

Arnaz

Altun

2018

HSF

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Background: Left atrial pressure (LAP) monitoring provides a valuable option for management of hemodynamic status in pediatric congenital heart surgery during the postoperative period.Methods: We used a Perifix Soft Tip 701 filter set catheter (B. Braun Melsungen AG 34209 Melsungen, Germany), which is commonly used for continuous epidural anesthesia. The catheter was placed into the left atrium to provide LAP monitoring. The study included 33 children, who needed LAP monitoring during and post-surgery between January 2016 and September 2017. Patients retrospectively were reviewed for ease of catheter placement, effectivity, accurate LAP, postoperative stability, and complications after removal of the catheter, including bleeding, air embolism, or thromboembolic events.Results: Patients ranged in age from 2 days to 131.27 months (Mean 11.80 days ± 25.76 days). Fifteen patients were newborn. Of the newborn patients, 39.4% (N = 13) were female. Catheters successfully were implanted in all patients, and there were no procedural complications. Left atrial catheters were removed between 1 to 12 days, with an average of 3.55 days ± 3.39 days before chest tube removal. During follow-up, patients did not suffer complications, such as thrombus formation, catheter-related infection, systemic embolism or stroke. Also, after the catheter was withdrawn, patients did not suffer from bleeding, haemodynamic deterioration, catheter retention, or require the need for intervention. During the stay in ICU, catheter nonfunction was the most frequent complication at 12.1 percent (N = 4). Conclusion: This is a simple, easy, and safe technique for wide use in congenital cardiac surgery patients.

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“…After CPB, the triple-lumen catheter in the IJV and the single-lumen catheter in the LA are used to monitor CVP and LAP, respectively. Yan et al 5 from Fuwai Hospital invented a modified triple-lumen catheter that incorporates a single lumen microtube that can be placed in the left atrium intraoperatively, avoiding the traditional "double-stick" technique in IJV. The spiraled distal tip of the microtube reduces the chance of migration into right atrium (RA).…”

Section: Pulmonary Artery Cathetermentioning

confidence: 99%

Anesthesia Management at Fuwai Hospital: Practice, Evidence and Outcomes<span style="font-size:12px;"><span style="font-size:9px;"></span></span>

2019

Chinese Medical Sciences Journal

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Fuwai Hospital was established in 1956 and the Anesthesia Department of Fuwai Hospital was one of the earliest anesthesia departments then in China. Under the leadership of several department directors and with the concerted efforts of all generations of colleagues, the anesthesia department of Fuwai Hospital has dramatically transformed, upgraded and modernized. For more than six decades, the anesthesia department has been providing high-quality peri-operative anesthesia care for cardiovascular surgeries, conducting innovative experimental and clinical researches, and offering comprehensive training on cardiovascular anesthesiology for professionals across China. Currently, Fuwai Hospital is the National Center for Cardiovascular Diseases (NCCD) of China, and one of the largest cardiovascular centers in the world. The present review introduced the anesthesia department of Fuwai Hospital, summarized its current practice of anesthesia management, the outcomes of cardiovascular surgeries at Fuwai Hospital, accumulated evidence, and provide prospects for future development of cardiovascular anesthesiology.Fuwai Hospital was founded in 1956 after the establishment of People's Republic of China. For more than six decades, Chinese pioneers in cardiovascular specialty at Fuwai Hospital have been dedicated to improving care of cardiovascular disease. Currently, Fuwai Hospital serves as the National Center for Cardiovascular Diseases (NCCD) of China, and is one of the largest cardiovascular medical centers in the world. 1 Anesthesia department at Fuwai Hospital has been improving and developing continuously. With the efforts of several generations of departmental leaders and all their colleagues, the department provides high-quality peri-operative care, which serves for the large volume cardiovascular surgeries at Fuwai Hospital as a professional and stable support.

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A Novel Combined-Catheter to Monitor Left and Right Atrial Pressures

Abstract: This novel combined-catheter was safe and reliable at monitoring left and right atrial pressures, and infusion involved only one catheter without the disadvantages of the traditional method. This new novel method may be particularly useful in pediatric open-heart surgery.

Cited by 5 publications

References 16 publications

Optimal depth for left atrial pressure monitoring in pediatric open-heart surgery

Optimal depth for left atrial pressure monitoring in pediatric open-heart surgery

Monitoring Left Atrial Pressure With a Useful Epidural Catheter

Anesthesia Management at Fuwai Hospital: Practice, Evidence and Outcomes<span style="font-size:12px;"><span style="font-size:9px;"></span></span>

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