Pulmonary artery pseudoaneurysm after Swan-Ganz catheterization: a case presentation and review of literature

Nellaiyappan, Madhan; Omar, Hesham R.; Justiz, Rafael; Sprenker, Collin; Camporesi, Enrico M.; Mangar, Devanand

doi:10.1177/2048872613520252

Cited by 25 publications

(14 citation statements)

References 33 publications

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“…As reported by Nellaiyappan et al 9 in their review of the literature, coil embolization appears to be the preferred method when treating a PSA, with a technical success rate of 89% in the reviewed patient population.…”

Section: Discussionmentioning

confidence: 56%

Endovascular treatment of a pulmonary artery pseudoaneurysm caused by Swan-Ganz catheter deployment in an anticoagulated patient

et al. 2015

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We present a case report of an anticoagulated 78-year old man presenting a pulmonary artery pseudoaneurysm following Swan-Ganz catheter deployment after an aortic valve and aortic root replacement. Diagnosis was established by cone beam CT angiography and catheter angiographyand embolisation was achieved via a combination of plug and glue. This case emphasises the importance of endovascular techniques in the management of iatrogenic pulmonary pseudoaneurysms and shows the benefit of using highly hemostatic polymeric agent in anticoagulated patients to obtain a rapid and effective occlusion.

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Section: Discussionmentioning

confidence: 56%

Endovascular treatment of a pulmonary artery pseudoaneurysm caused by Swan-Ganz catheter deployment in an anticoagulated patient

et al. 2015

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“…9 Risk factors implicated in PA injury with SG catheter use include age >60 years, female gender, pulmonary hypertension, systemic anticoagulation, long-term steroid use, and surgically induced hypothermia. 10 Our patients had 4 of these risk factors for sustaining PA injury as a consequence of SG placement. They were older than 60 years, females, and received anticoagulation during the cardiac operation under hypothermia.…”

Section: Discussionmentioning

confidence: 71%

Troubles After Swan-Ganz Catheter Placement in Cardiac Surgery

L’Acqua

Suriano

Gregu

et al. 2017

Semin Cardiothorac Vasc Anesth

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The use of the Swan-Ganz (SG) catheter in cardiac surgery is not without risk, with a wide range of complications reported in the literature. The placement of the catheter in the pulmonary artery (PA) may lead to serious vascular damage (less than 0.2% of cases) and/or valve injury. 1-3 We report 2 cases of serious complications following PA catheter insertion during cardiac operations. The first patient developed a right PA pseudoaneurysm, the second patient experienced a massive tricuspid regurgitation after removal of a presumably knotted SG catheter. Written consents have been obtained.

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“…Pulmonary artery rupture (PAR) is a serious life-threatening vascular injury, which is estimated to occur in less than 0.2% of PAC insertions 6,8,9 with high mortality.…”

Section: Discussionmentioning

confidence: 99%

Is There a Need for a Pulmonary Artery Catheter in Cardiac Surgery Today?

Jacobzon

Hasin

Lifschitz

et al. 2020

Semin Cardiothorac Vasc Anesth

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Pulmonary artery catheters are a useful tool for hemodynamic monitoring in high-risk patients during surgery and while in intensive care. However, there are major risks inherent to the device, and with modern day technology, their routine use has decreased. We discuss the need for routine insertion of pulmonary artery catheters in cardiac surgery. We also present a case of a left ventricular assist device implantation complicated by serious pulmonary hemorrhage due to pulmonary artery catheter insertion, highlighting the potentially life-threatening risks involved.

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Pulmonary artery pseudoaneurysm after Swan-Ganz catheterization: a case presentation and review of literature

Cited by 25 publications

References 33 publications

Endovascular treatment of a pulmonary artery pseudoaneurysm caused by Swan-Ganz catheter deployment in an anticoagulated patient

Endovascular treatment of a pulmonary artery pseudoaneurysm caused by Swan-Ganz catheter deployment in an anticoagulated patient

Troubles After Swan-Ganz Catheter Placement in Cardiac Surgery

Is There a Need for a Pulmonary Artery Catheter in Cardiac Surgery Today?

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