SAMUEL P. KUMAR, M.D.; JAVAD YANS, M.D.; MANMOHANLAL KWATRA, M.D.; DAVID M. LOESCH, M.D.; VICHIT VITURAWONG, M.D.
Flow-directed balloon-tipped catheters have found extensive application in hemodynamic monitoring of critically ill patients. Knotting is a rare complication associated with their use (1-5). We describe a case in which knotting of a relatively large (7 French) balloon-tipped flow-directed (Swan-Ganz) catheter occurred. A simple nontraumatic method not previously described facilitated removal of the knotted catheter, obviating the need for surgery.
A 62-year-old white man presented with severe congestive heart failure. His pulse was 78/min and blood pressure 112/70 mm Hg. Gross jugular venous distension, a prominent S3 gallop, and bilateral diffuse rales were noted. A chest roentgenogram revealed cardiomegaly and
KUMAR SP, YANS J, KWATRA M, LOESCH DM, VITURAWONG V. Removal of a Knotted Flow-Directed Catheter by a Nonsurgical Method. Ann Intern Med. ;92:639–640. doi: 10.7326/0003-4819-92-5-639
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Published: Ann Intern Med. 1980;92(5):639-640.
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