Swan-Ganz Catheter Entrapment in Open Heart Surgery

Kaplan, Mehmet; Demirtaş, Murat; Çimen, Serdar; Kut, Mustafa Sinan; Özay, Batuhan; Kanca, Atilla; Özler, Azmi

doi:10.1111/j.1540-8191.2000.tb00463.x

Cited by 26 publications

(31 citation statements)

References 7 publications

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“…The most common etiologies of PAC entrapment occur with inadvertent catheter fixation to cardiac structures during cardiac surgery. Over a two-year period, Kaplan et al reported 10 cases of PAC entrapment during cardiac surgery [1]. In this series, 4 catheters were retained in the vena cava cannulation suture, three in the right atriotomy suture, one in the left atriotomy suture, and one that was looped around the RV papillary muscle.…”

Section: Discussionmentioning

confidence: 97%

“…Complications of central venous cannulation include vascular injury and, rarely, catheter entrapment. Catheter coiling, entanglement within the Chiari system, tricuspid valve apparatus, inferior venous caval (IVC) filters, as well as inadvertent incorporation of the catheter into atrial closures, have been reported as etiologies for catheter entrapment [1][2][3]. A case of extracardiac pulmonary artery catheter (PAC) entrapment secondary to inadvertent cannulation and perforation of the internal thoracic vein is presented.…”

Section: Introductionmentioning

confidence: 99%

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Noncardiac entrapment of a pulmonary artery catheter during heart transplantation: inadvertent cannulation and perforation of the internal thoracic vein

Raikhelkar

Anyanwu

Krishnan

et al. 2011

Journal of Clinical Anesthesia

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Noncardiac entrapment of a pulmonary artery catheter during heart transplantation: inadvertent cannulation and perforation of the internal thoracic vein

Raikhelkar

Anyanwu

Krishnan

et al. 2011

Journal of Clinical Anesthesia

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“…Most reported cases required a repeat sternotomy with or without CPB. This second operation increases not only costs, but also patient's mortality and morbidity 3 .…”

Section: Discussionmentioning

confidence: 99%

Accidental entrapment of swan ganz in inferior vena caval cannulation site-A case report

Karthekeyan

Rao

Vakamudi

et al. 2007

Indian J Thorac Cardiovasc Surg

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Entrapment of a Swan-Ganz catheter to an intracardiac structure in open heart operation is a rare but serious complication. In the intracardiac course, the catheter tends to rest against the anterior-lateral wall of the right atrium where the catheter can be caught by a suture during cannulation for cardiopulmonary bypass 1 . A Swan-Ganz catheter entrapment by a suture in the inferior vena caval (IVC) cannulation site during mitral valve replacement is presented. The diagnosis of the suture entrapment of the Swan-Ganz catheter was established by fluoroscopic observation of the specific movement pattern of the cardiac structures when manual traction was applied from outside. In conclusion, awareness of potential catheter entrapment by suture or other mechanisms should be the first step for management, when resistance is met during catheter withdrawal. Smooth partial withdrawal of the catheter prior to initiation of cardiopulmonary bypass(CPB), or at least before chest closure, to detect catheter mobility would provide an early clue for the diagnosis. (Ind J Thorac Cardiovasc Surg, 2007; 23: 283-285)

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“…The most common site of entrapment is the cannulation stitch placed to secure the cannula in the superior vena cava. 7 Treatment, although simple when recognized, unfortunately requires re-operation with concomitant added morbidity. Once the offending stitch is identified, it can be cut and the catheter is then removed under direct visualization.…”

Section: Discussionmentioning

confidence: 99%

The Sequelae of Silence: Catheter Entrapment as a Preventable Morbidity Resulting from Communication Failure

Yoho¹,

Firstenberg²

2015

Heart Res Open J

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A 72-year-old male required reoperative mitral valve replacement surgery for culture negative endocarditis. Intraoperatively, a central venous catheter was placed without communication between the surgical and anesthesia teams. Despite a seemingly uneventful operative and post-operative course, prior to discharge, the catheter was unable to be removed and necessitated surgical removal. Bidirectional communication during cardiovascular surgery is key to achieving optimum outcomes. Fortunately, it often requires many errors to lead to unnecessary morbidity, however sometimes it takes but one.

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Swan-Ganz Catheter Entrapment in Open Heart Surgery

Abstract: When performing open heart surgery, the surgeon should not leave the Swan-Ganz catheter in the suture while closing the right or left atriotomy or during venous cannulation. In addition, the catheter should be moved after suturing to ensure that there is no entrapment.

Cited by 26 publications

References 7 publications

Noncardiac entrapment of a pulmonary artery catheter during heart transplantation: inadvertent cannulation and perforation of the internal thoracic vein

Noncardiac entrapment of a pulmonary artery catheter during heart transplantation: inadvertent cannulation and perforation of the internal thoracic vein

Accidental entrapment of swan ganz in inferior vena caval cannulation site-A case report

The Sequelae of Silence: Catheter Entrapment as a Preventable Morbidity Resulting from Communication Failure

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