Hemodynamic consequences of Foley catheter control in experiment penetrating cardiac wounds.
Insertion of the Foley catheter has been recommended to control bleeding from penetrating cardiac wounds. Potential complications from this maneuver include enlargement of the tear in the myocardium or further impediment to cardiac function by the balloon. This study was done to evaluate the hemodynamic consequences of the balloon catheter when it was used to control bleeding in cardiac stab wounds created in pigs. A significant decrease in cardiac function occurred with control of the bleeding by the balloon catheter. This effect was dependent on the size of the balloon and cardiac location.
Department of Surgery, University of Pittsburgh, Pennsylvania.
S M
SM
Pham
R
R
Johnson
S J
SJ
Durham
A B
AB
Peitzman
B P
BP
Griffith
D000818:Animals; D001794:Blood Pressure; D002302:Cardiac Output; D002404:Catheterization / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D004195:Disease Models, Animal; D005069:Evaluation Studies as Topic; D006335:Heart Injuries / Q000503:physiopathology* / Q000628:therapy; D006339:Heart Rate; D006439:Hemodynamics; D006470:Hemorrhage / Q000517:prevention & control*; D013318:Stroke Volume; D013552:Swine; D014951:Wounds, Stab / Q000503:physiopathology* / Q000628:therapy