Nonsurgical extraction of intracardiac double-knotted pulmonary artery catheter

Journal of Clinical Anesthesia
K M IsmailL Stockx

Abstract

A 75-year-old patient was admitted to the operating room for an emergency laparotomy for leaking abdominal aortic aneurysm. A pulmonary artery catheter (PAC) was inserted through the right internal jugular vein but it was impossible to advance the catheter lip into the pulmonary artery. We tried to withdraw the catheter but this was also impossible. A postoperative chest radiograph revealed a catheter knot in the right atrium. We succeeded in removing the PAC through a 14-French sheath introducer placed in the femoral vein via fluoroscopy.

References

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Aug 27, 1970·The New England Journal of Medicine·H J SwanD Chonette
Aug 1, 1983·Chest·G B GraybarF A Puyau
Oct 1, 1993·Anesthesia and Analgesia·W S Turnage, H Fontanet

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Citations

Oct 7, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Neal S Gerstein, Damian Deleon
Jun 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Ron C GabaCharles A Owens
Mar 27, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I D KaranikasM K Lazarides
Sep 28, 2017·Journal of Intensive Care Medicine·Boohwi HongChae Seong Lim
Nov 21, 2020·Anaesthesia Reports·S ColombierL Niclauss

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