Pulmoner Arter Kateterizasyonunun Nadir Görülen Bir Komplikasyonu: Düğümlenme

Year 2016, Volume: 19 Issue: 2, 127 - 128, 01.08.2016

Tülay Örki Yücel Özen Rezzan Yaltırık Tuncer Koçak Deniz Avan Davut Çekmecelioğlu

Abstract

Pulmoner
arter kateterinin düğümlenmesi nadir görülen bir pulmoner arter kateterizasyon
komplikasyonudur. Bu olgu sunumunda, aort, 
mitral darlığı ve triküspit kapak yetmezliği nedeniyle açık kalp
cerrahisi uygulanan hastada, pulmoner arter kateterinin yerleştirilmesi
sırasında düğümlenmesinin fark edilmesi ve ardından sorunsuz olarak çıkarılması
anlatılmaktadır.

Keywords

Pulmoner arter kateteri, komplikasyon, düğümlenme

A Rare Complication of Pulmonary Artery Catheterization: Knotting

Abstract

Pulmonary artery catheter knotting is a rare complication
of pulmonary artery catheterization. In this case report, we describe the
smooth removal of a pulmonary artery catheter after recognition of
strangulation during insertion of this catheter in a patient undergoing open
heart surgery due to aortic and mitral stenosis and tricuspid valve insufficiency.

Keywords

Pulmonary artery catheter, complication, knotting

References

• 1. Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter.
• 2. Webster CS, Merry AF, Emmens DJ, Van Cotthem C, Holland RL, Middleton NG. A prospective clinical audit of central venous catheter use and complications in 1000 consecutive patients. Anesth Intensive Care 2003;31:80-6.
• 3. Swaroop S. Knotting of two central venous monitoring catheters. Am J Med 1972;53:386-8.
• 4. Lopes MC, de Cleva R, Zilberstein B, Gama-Rodrigues JJ. Pulmonary artery catheter complications: Report on a case of a knot accident and literature review. Rev Hosp Clin Fac Med S Paulo 2004;59:77-85.
• 5. Cruz K, Franklin C. The pulmonary artery catheter: Uses and controversies. Crit Care Clin 2003;17:271-91.
• 6. Mehta N, Lochab SS, Tepme DK, Trehan V, Nigam M. Successful nonsurgical removal of a knotted and entrapped pulmonary artery catheter. Cathet Cardiovasc Diagn 1998;43:87-9.
• 7. Ismail KM, Deckmyn T, Vandermeersch E. Nonsurgical extraction of intracardiac double-knotted pulmonary artery catheter. J Clin Anesth 1998;10:160-2.
• 8. Karanikas ID, Polychronidis A, Vrachatis A, Arvanitis DP, Simopoulos CE, Lazarides MK. Removal of knotted intravascular devices. Case report and review of the literature. Eur J Vasc Endovasc Surg 2002;23:189-94.
• 9. Tan C, Bristow PJ, Segal P, Bell RJ. A technique to remove knotted pulmonary artery catheters. Anesth Intensive Care 1997;25:160-2.