Extracorporeal Membrane Oxygenation for Swan-Ganz Induced Intraoperative Hemorrhage

Bianchini, Roberto; Melina, Giovanni; Benedetto, Umberto; Rossi, Michele; Fiorani, Brenno; Iasenzaniro, Manuela; Sinatra, Riccardo

doi:10.1016/j.athoracsur.2007.01.023

Cited by 23 publications

(16 citation statements)

References 5 publications

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“…There is one case reported in which ECMO reduced the bleeding from the ruptured pulmonary artery. It was applied in order to improve blood oxygenation, to avoid severe hypoxemia and consequently to stabilize the patient [ 20 ]. Surgical treatment of PAR may involve reconstruction of the pulmonary artery, lobectomy or lung resection.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Rudziński¹,

Henzel²,

Dzielińska³

et al. 2016

pwki

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IntroductionThe placement of a Swan-Ganz catheter into the pulmonary artery may lead to a number of complications (2–17%). In less than 0.2% of cases Swan-Ganz catheterization results in serious vascular damage – pulmonary artery rupture (PAR). This paper presents two distinct forms of iatrogenic PAR treated endovascularly using different vascular devices.AimTo evaluate the effectiveness of endovascular treatment and the application of different types of vascular devices in the management of pulmonary artery rupture caused by Swan-Ganz catheterization.Material and methodsIn this retrospective study we evaluated 2 patients in whom Swan-Ganz catheter application was used for perioperative monitoring and resulted in pulmonary artery rupture. This complication was treated endovascularly by means of interventional cardiology.ResultsWe report the cases of 2 patients with a pulmonary artery pseudoaneurysm formed in the perioperative period. In case 1, a single, 4-loop, 3 mm diameter coil was implanted. In case 2, a 5 mm Amplatzer Vascular Plug IV was applied. In both cases, the endovascular approach resulted in total occlusion of the feeding artery and reduced further extravasation of the blood.ConclusionsDespite its extremely low incidence, iatrogenic PAR is a serious, life-threatening complication of Swan-Ganz catheterization that requires urgent attention. Among available methods of treatment, percutaneous embolization is a relatively quick, safe, accurate and highly effective alternative to traumatizing surgery.

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Section: Discussionmentioning

confidence: 99%

Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Rudziński¹,

Henzel²,

Dzielińska³

et al. 2016

pwki

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“…Despite this fact, it is important to emphasize that even though pulmonectomy increases mortality, sometimes in severe cases it is the only way of treatment [21]. Means of interventional cardiology comprise methods such as transcatheter detachable balloon technique [22, 23], or insertion of a specific coil (therapeutic gold standard) [6, 10, 13, 23, 24]. Moreover, use of an Amplatzer ® Vascular Plug has recently been described [14].…”

Section: Discussionmentioning

confidence: 99%

“…Considering other methods, there is a case report which reveals that extracorporeal membrane oxygenation (ECMO) can reduce bleeding from the ruptured pulmonary artery caused by the Swan-Ganz catheter. Extracorporeal membrane oxygenation was applied in order to improve blood oxygenation and severe hypoxemia and, in consequence, to achieve clinical stability more rapidly [24]. What is more, others concluded that in the absence of particular risk factors (such as pulmonary hypertension and use of systemic anticoagulants) the treatment of pulmonary artery rupture can consist only of supportive care [1].…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of PA pseudoaneurysm caused by Swan-Ganz catheter

Rudziński¹,

Demkow²,

Michałowska³

et al. 2014

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The following case report describes a complication of Swan-Ganz catheterization and its endovascular treatment with a single coil. Application of this particular catheter in the pulmonary artery during cardiac surgery may lead to mechanical perforation and creation of an extravascular sac, which is called a pseudoaneurysm. There are different methods that lead to tamponade or closure of the leakage. Interventional cardiology procedures are nowadays the most appropriate way of treatment of Swan-Ganz catheter induced vascular complications.

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“…[2] However, there are a few cases describing ECMO in patients with massive hemoptysis. [3][4][5] Therefore, it is not clear whether it is beneficial to apply ECMO as a res-cue therapy to unstable patients with massive hemoptysis prior to definite therapeutic procedures. We report a successful application of ECMO as a rescue therapy prior to ultimate intervention for severe non-iatrogenic hemoptysis.…”

mentioning

confidence: 99%

Extracorporeal Membrane Oxygenation as a Rescue Therapy in a Patient with Non-Iatrogenic Massive Hemoptysis

Lee

Kim

2013

Korean J Crit Care Med

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Extracorporeal Membrane Oxygenation for Swan-Ganz Induced Intraoperative Hemorrhage

Cited by 23 publications

References 5 publications

Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Endovascular treatment of PA pseudoaneurysm caused by Swan-Ganz catheter

Extracorporeal Membrane Oxygenation as a Rescue Therapy in a Patient with Non-Iatrogenic Massive Hemoptysis

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