Intracardiac Knot Formation in a Swan-Ganz Catheter

Daum, S; Schapira, M

doi:10.1213/00000539-197309000-00048

Cited by 22 publications

(9 citation statements)

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“…Some authors have recommended that not more than 10 cm of catheter should be introduced at a time, and a close watch be kept on the pressure tracing. A classical case of a knot was described by Daum and Schapira1 in 1973. They advanced a catheter 40 cm into the basilic vein of the right arm.…”

Section: Discussionmentioning

confidence: 99%

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Knots in the cath lab, an embarrassing complication of radial angiography

Gupta¹,

Praveen²,

Ahmed³

et al. 2013

Heart Asia

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Most case reports or series describe knots in the venous system such as knots of Swan-Ganz catheters, pacing wires or thermodilution catheters. Knots during radial angiography are relatively rare. Here we describe a simple method of unravelling a radial knot via the femoral route, together with a review of the literature on knots in the catherisation laboratory and the techniques to deal with them.

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Section: Discussionmentioning

confidence: 99%

“…Most knots in the catherisation laboratory in literature have been described on the right side of the heart during Swan-Ganz pulmonary artery monitoring, superior vena cava cannulation, pacing wire insertion or right heart catherisation 1 2…”

mentioning

confidence: 99%

Knots in the cath lab, an embarrassing complication of radial angiography

Gupta¹,

Praveen²,

Ahmed³

et al. 2013

Heart Asia

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show abstract

“…Intracardiac knotting of Swan‐Ganz catheters is a rare complication [1–3] that usually requires special surgical or interventional techniques for safe removal. We report a case of an unusually large double‐knot formation in a Swan‐Ganz catheter, which we achieved to remove percutaneously.…”

Section: Introductionmentioning

confidence: 99%

Transfemoral percutaneous removal of a knotted Swan‐Ganz catheter

Katsikis

Karavolias

Voudris

2009

Cathet Cardio Intervent

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Intracardiac knotting of balloon-tipped flow-directed catheters during a heart catheterization procedure represents a rare but serious complication. In case that such an event occurs, leading to inability to remove the catheter, various different methods have been described to solve the problem, varying from the least invasive to open heart surgery. The formation of large knots requires surgical removal in the vast majority of cases. We describe the successful nonsurgical removal of a Swan-Ganz catheter, after the formation of a large double knot, during a right heart catheterization performed without fluoroscopic guidance in the intensive care unit. This technique could serve as a last resort in cases that surgical removal seems inevitable due to size-related inapplicability of other nonsurgical methods.

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“…Intracardiac knotting is occasionally encountered during right heart catheterization, utilizing both conventional (1-5) and flow directed (6)(7)(8) catheters. Usually it has been possible to undo the knot or withdraw it to a peripheral vein for easy removal.…”

Section: Introductionmentioning

confidence: 99%