Removal of Pulmonary Artery Catheter Knotted During Placement by Using Transesophageal Echocardiography

Yuan, Hui; Lee, Edward; Patel, Anjali

doi:10.1053/j.jvca.2010.02.016

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Measures to prevent such complications have included strengthening user training and placing the catheter under TEE guidance [10] . TEE [4] and X-ray [2,3,7] have been used to guide removal of intravascular knotted or kinked Swan-Ganz catheters. If large or multiple knots were encountered, using uoroscopic guidance, the catheter was uncoiled by the interventional radiologist.…”

Section: Discussionmentioning

confidence: 99%

“…The most common complications associated with the Swan-Ganz catheter have included site hematoma, arterial puncture, arrhythmias, catheter-related infections and thromboembolic events [1] . Although di culty in the removal of Swan-Ganz catheters has only been rarely reported, the causes have included intravascular knotted or kinked Swan-Ganz catheters [2][3][4][5][6][7][8] . However, when encountered, X-ray [2] , transesophageal echocardiography (TEE) [4] or CT examination may be necessary to assess the cause, in order to avoid the most severe complications resulting from di cult catheter removal of valvular damage and cardiovascular injury [2,8] .…”

Section: Introductionmentioning

confidence: 99%

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Successful Retrieval of a Kinked Thermal Filament of a Swan-Ganz Catheter: a Case Report

Xie

Ming

et al. 2022

Preprint

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Swan-Ganz pulmonary artery catheters enable continuous assessment of cardiac blood flow, left heart pressures, and oxygen delivery and consumption, with an uninterrupted view of cardiac function to facilitate proactive decisions in the most complex patients. However, complications of Swan-Ganz catheters have been continuously reported in clinical practice. Therefore, it is imperative to focus on prevention and treatment of Swan-Ganz catheter complications. This case presents successful management of an unusual complication, retrieval of a kinked thermal filament of a Swan-Ganz catheter in a 32-year-old male patient following liver transplantation. To our knowledge, this is the first reported case of a kinked thermal filament of a Swan-Ganz catheter. When the Swan-Ganz catheter was found to be difficult to withdraw, CT revealed that the Swan-Ganz catheter was kinked at the level of clavicle. Under X-ray guidance, the central venous catheter was first removed, followed by removal of the percutaneous introducer sheath, and finally the Swan-Ganz catheter was successfully withdrawn. This case report provides a successful procedure for the removal of the kinked Swan-Ganz catheter, and perspectives on the overall management, such as the possible need for CT examination when difficulty is encountered withdrawing a Swan-Ganz catheter.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful Retrieval of a Kinked Thermal Filament of a Swan-Ganz Catheter: a Case Report

Xie

Ming

et al. 2022

Preprint

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“…Difficult removal of the Swan-Ganz catheter has been reported with an estimated incidence of 0.2-2.5% [1], due to reasons including intracardiac knots and kinks in the Swan-Ganz catheter [2][3][4][5][6]. Cardiac perforation and pulmonary artery rupture were the most severe complications due to the difficult removal of a catheter in a previous report [7,8].…”

Section: Introductionmentioning

confidence: 99%

Difficult removal: a Swan-Ganz catheter coiled on the central venous catheter

Shen

Huang

2020

J Cardiothorac Surg

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Background The Swan-Ganz catheter plays an important role in gaining understanding of cardiac pathophysiology and in the hemodynamic monitoring of critically ill patients. Difficult removal of the Swan-Ganz catheter is a rare but serious complication. Case presentation This case presents the difficult removal of a Swan-Ganz catheter in a 28-year-old female patient after cardiac surgery. Fluoroscopy and chest X-ray revealed that a portion of the Swan-Ganz catheter was coiled on the central venous catheter at the level of the superior vena cava. Under X-ray guidance, the central venous catheter was first removed, and then the Swan-Ganz catheter was successfully withdrawn through the percutaneous introducer sheath. Conclusions This case report provides an unreported reason for difficult removal and describes a successful solution. This report suggests that X-ray examinations may be necessary before removing the Swan-Ganz catheter.

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