SHA 033. Pulmonary artery catheter entrapment in cardiac surgery

Catheter entrapment during cardiac electrophysiology study.

Lack of effectiveness of the pulmonary artery catheter in cardiac surgery.

BACKGROUND The pulmonary artery catheter (PAC) continues to be used for monitoring of hemodynamics in patients undergoing coronary artery bypass graft (CABG) surgery despite concerns raised in other settings regarding both effectiveness and safety. Given the relative paucity of data regarding its use in CABG patients, and given entrenched practice patterns, we assessed the impact of PAC use on ...

The pulmonary artery catheter.

Clinical Medicine Vol 2 No 2 March/April 2002 101 The flow-directed pulmonary artery catheter (PAC) has been in clinical use since its introduction by Swan and colleagues in 19701. During that time it has become widely used in critical care units throughout the world and is now the most commonly utilised form of flow monitoring. The haemodynamic data obtained with a PAC are used to monitor and ...

Delayed Pulmonary Artery Rupture after Using BioGlue in Cardiac Surgery

A 56-year-old woman, who underwent cardiac surgery 3 months previously, presented to the emergency room with pulmonary artery rupture due to the cytotoxic effects of BioGlue (CryoLife Inc., Kennesaw, GA, USA). She was successfully treated with surgical management. Although surgical glue can be effectively used for hemostasis, it can induce delayed vascular complications. Therefore, surgical glu...

Pulmonary artery catheter knotting in a coronary artery bypass surgery patient.

A fifty seven years old female patient came to operating room for coronary artery bypass grafting (CABG) surgery. After induction, invasive monitoring lines were placed. Pulmonary artery catheter (PAC) floated after three attempts and it was wedged at 60cm. Intra operative course was smooth and patient transferred to cardiac intensive care unit (CICU). First chest X-ray revealed PAC knotting in...