[Knotting Swan-Ganz catheter in right pulmonary artery].
Knotting Swan-Ganz catheter is a rare complication of hemodynamic monitoring. This is the second case reported in Mexico in over 20 years. Identified risk factors that increase likelihood of loop formation knotting of the catheter are blind introduction and small diameter of catheter, incomplete balloon inflation before advancing it, several tries to wedge it, bending of the catheter by heat, and enlarged right heart chambers. More frequent sites of knotting are right atrium and ventricle, subclavian vein, and pulmonary artery and its branches. Diagnostic confirmation is made by chest radiography, fluoroscopy, and echocardiography. Therapeutic approach depends on knot characteristics, either non-surgical or surgical.
Carrillo-Esper
Raúl
R
Servicio de Terapia Intensiva del HCSAE, Postgrado de Medicina de Enfermo en Estado Crítico. seconcapcma@mail.medinet.net.mx
Visoso-Palacios
Porfirio
P
Suárez-Mendoza
Alejandro Cruz
AC
D002407:Catheterization, Swan-Ganz / Q000295:instrumentation*; D020878:Device Removal; D004867:Equipment Design; D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D012307:Risk Factors