Document Detail


Pulmonary artery rupture induced by a pulmonary artery catheter: a case report and review of the literature.
MedLine Citation:
PMID:  15358948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Placement and use of pulmonary artery catheters (PACs) carry potential risks. The authors describe a case of a patient who developed massive hemoptysis after placement of a PAC that caused a rupture of the pulmonary artery with pseudoaneurysm formation. Treatment was successfully achieved with transcatheter coil embolization. Pulmonary artery rupture and pseudoaneurysm formation are among the most serious complications of PAC use because of the associated risk of mortality. Patients with this complication may be asymptomatic or may present with variable amounts of hemoptysis immediately or days after using a PAC. The gold standard diagnostic test is pulmonary angiography, and the treatment of choice for most patients is transcatheter embolization. Physicians and other health care personnel handling these catheters should be familiar with the specific PAC balloon's inflation limits to avoid complications that may injure the patient.
Authors:
Alexandre R Abreu; Michael A Campos; Bruce P Krieger
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of intensive care medicine     Volume:  19     ISSN:  0885-0666     ISO Abbreviation:  J Intensive Care Med     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-09-10     Completed Date:  2004-12-21     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8610344     Medline TA:  J Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291-6     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Sage Publications
Affiliation:
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Miami School of Medicine, Miami, Florida, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aneurysm, False / diagnosis,  etiology*,  therapy
Angiography
Catheterization, Swan-Ganz / adverse effects*
Embolization, Therapeutic / instrumentation
Female
Hemoptysis / etiology
Humans
Pulmonary Artery / injuries*,  radiography
Risk Factors
Rupture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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