Document Detail

Massive hemoptysis secondary to flow-directed thermodilution catheters.
MedLine Citation:
PMID:  487419     Owner:  NLM     Status:  MEDLINE    
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.
J Haapaniemi; R Gadowski; M Naini; H Green; D MacKenzie; M Rubenfire
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  5     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1979  
Date Detail:
Created Date:  1979-12-20     Completed Date:  1979-12-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  151-7     Citation Subset:  IM    
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MeSH Terms
Heart Catheterization / adverse effects*
Hemoptysis / etiology*,  prevention & control
Hemorrhage / etiology,  prevention & control
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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