| Massive hemoptysis secondary to flow-directed thermodilution catheters. | |
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MedLine Citation:
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PMID: 487419 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hemoptysis is an unusual complication of flow-directed (Swan-Ganz) catheters. Over-inflation of the balloon with a shearing-induced rupture of a small pulmonary artery, and the spear effect of the catheter tip appear to be the mechanisms in the two cases presented. Diligent care to avoid overinflation of the balloon in the pulmonary capillary wedge position by observation of the pressure waveform is critical. The spear effect that is frequently seen during insertion may be eliminated by deflating the balloon at the first appearance of the pulmonary artery waveform and gradual advancement of the catheter five to eight cm, when the balloon is then reinflated to obtain the wedge. |
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Authors:
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J Haapaniemi; R Gadowski; M Naini; H Green; D MacKenzie; M Rubenfire |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular diagnosis Volume: 5 ISSN: 0098-6569 ISO Abbreviation: Cathet Cardiovasc Diagn Publication Date: 1979 |
Date Detail:
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Created Date: 1979-12-20 Completed Date: 1979-12-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7508512 Medline TA: Cathet Cardiovasc Diagn Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 151-7 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Female Heart Catheterization / adverse effects* Hemoptysis / etiology*, prevention & control Hemorrhage / etiology, prevention & control Humans Lung Diseases / etiology, prevention & control Middle Aged Thermodilution / instrumentation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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