Intracardiac Knotting of a Balloon-tipped, Flow-directed Pulmonary Artery Catheter: A Case Report.
- Author:
Bong Chul CHOI
1
;
Mee Young CHUNG
;
Chang Jae KIM
;
Jun Seuk CHEA
;
Byung Ho LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Seoul, Korea. bhlee@mail.catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Complication;
Knotted catheter;
Pulmonary artery catheter;
Spring guidewire
- MeSH:
Aortic Valve;
Catheters*;
Heart Atria;
Humans;
Intensive Care Units;
Pulmonary Artery*
- From:The Korean Journal of Critical Care Medicine
2005;20(2):178-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The occurrence of knots and loops is a potential hazard of a balloon-tipped, flow-directed pulmonary artery (PA) catheter placement if excessive catheter length is passed into the right atrium or ventricle. Knotting of a balloon-tipped, flow-directed PA catheter leading to difficulty in its removal is a rare but serious complication. A case of knotted catheter in right atrium in a patient undergoing aortic valve replacement is presented. By passing a spring guidewire into PA catheter, we have untied the loose knotted catheter under simple fluoroscopic guidance in the intensive care unit.
