[Interventional occlusion of the aneurysm of the pulmonary artery: treatment of a rare complication when applying the Swan-Ganz catheter].
Dissecting aneurysm of the pulmonary artery is a rare (1 : 3000) but life threatening complication of the use of Swan-Ganz catheters. The most typical clinical manifestation is hemoptysis, even a asymptomatic aneurysm causes pathognomonic X-ray findings. The eventually long free intervall between catheterisation and formation of the dissecting aneurysm requires thorough follow up of the concerning patients, e. g. chest roentgenograms and thorax CT-scans. The endovascular therapy of this lesion has replaced surgery due to a much better risk profile. The aim of the endovascular treatment is a coil-occlusion of the parent artery immediately proximal to the aneurysm. The success of this procedure will be instantaneously evident.
Montag
M
M
Klinik für Radiologie und Neuroradiologie, Alfried Krupp von Bohlen und Halbach Krankenhaus, Essen.
Albes
G
G
Eschlwöch
S
S
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D011859:Radiography; D016896:Treatment Outcome