| Percutaneous trans-jugular technique for continuous perioperative monitoring of intra-cardiac and pulmonary artery pressures during cardiac surgery for congenital heart disease. | |
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MedLine Citation:
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PMID: 23139977 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To observe the safety of trans-jugular pressure-monitoring catheter insertion at a tertiary care teaching hospital in Rawalpindi, Pakistan. METHODS: The observational study was carried out at the Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, from January 1, 2004 to March 31, 2010. All patients electively scheduled to undergo cardiac surgery for congenital heart disease who had percutaneous trans-jugular pressure monitoring catheters inserted peri-operatively were included in the study. Dedicated Medtronic 3 Fr pressure monitoring catheters were passed through internal jugular vein using the modified Seldinger. The patients were followed up during the hospital stay for complications related to catheter insertion/removal. Data was analysed using SPSS version 15. RESULTS: Of the 572 patients in the study, the catheters were ultimately positioned with the tips in the pulmonary artery in 447 (78.14%)patients, right ventricle 54 (9.44%) patients, left atrium in 52 (9.09%), and in both pulmonary artery and left atrium in 19 (3.32%) patients. Duration of pressure monitoring from all the chambers was 53 +/- 19 hours post-operatively. Transient and self-limiting atrial or ventricular ectopic beats were noticed in 163 (27.58%) patients during insertion. Catheter was found to be non-functional in 12 (2.03%) patients. Only one (0.16%) patient experienced recurrent tachyarrhythmia which required the withdrawal of catheter. CONCLUSION: Insertion of trans-jugular pressure monitoring catheters during cardiac surgery for congenital heart disease is a safe and reliable technique. |
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Authors:
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Syed Aqeel Hussain; Shahab Naqvi; Iftikhar Ahmed; Umair Younis; Kamal Saleem; Syed Muzaffar Hasan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: JPMA. The Journal of the Pakistan Medical Association Volume: 62 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-11-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
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Languages: eng Pagination: 924-8 Citation Subset: IM |
Affiliation:
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Department of Cardiac Anaesthesia & Intensive Care, Armed Forces Institute of Cardiology/National Institute of Heart Diseases, The Mall, Rawalpindi, Pakistan. draqeel@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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