Complications of Swan-Ganz catheterization for hemodynamic monitoring in patients with subarachnoid hemorrhage.
Invasive hemodynamic monitoring has become standard in the management of aneurysmal subarachnoid hemorrhage. This study is a retrospective analysis of 630 Swan-Ganz catheters placed in 184 patients with aneurysmal subarachnoid hemorrhage. Evaluation of complications demonstrated a 13% incidence of catheter-related sepsis (81 of 630 catheters), a 2% incidence of congestive heart failure (13 of 630 catheters), a 1.3% incidence of subclavian vein thrombosis (8 of 630 catheters), a 1% incidence of pneumothorax (6 of 630 catheters), and a 0% incidence of pulmonary artery rupture. In the management of patients with aneurysmal subarachnoid hemorrhage, invasive hemodynamic monitoring continues to be an important tool with acceptable complications.
Rosenwasser
R H
RH
Department of Neurological Surgery, Wills Neurosensory Institute, Thomas Jefferson University Hospital, Pennsylvania Hospital, Philadelphia, USA.
Jallo
J I
JI
Getch
C C
CC
Liebman
K E
KE
D017542:Aneurysm, Ruptured / Q000503:physiopathology*; D016470:Bacteremia / Q000209:etiology; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects* / Q000295:instrumentation; D003422:Critical Care; D004868:Equipment Failure; D006333:Heart Failure / Q000209:etiology; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000503:physiopathology*; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D011030:Pneumothorax / Q000209:etiology; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000209:etiology; D013345:Subarachnoid Hemorrhage / Q000503:physiopathology*; D013350:Subclavian Vein; D013927:Thrombosis / Q000209:etiology