Document Detail

Value of multislice CT in the diagnosis of pulmonary artery pseudoaneurysm from Swan-Ganz catheter placement.
MedLine Citation:
PMID:  15466801     Owner:  NLM     Status:  MEDLINE    
Perforation of a pulmonary artery after placement of a Swan-Ganz catheter is a serious complication that requires immediate management. Exact description of size and anatomic localization of a pulmonary pseudoaneurysm is crucial for planning further therapy. This report describes a patient who experienced such a complication, but in whom primary pulmonary angiography failed to demonstrate bleeding. However, multislice computed tomography not only correctly demonstrated the anatomic location of the pseudoaneurysm but was also able to directly visualize the feeder vessel and its connection to the aneurysm. This information was essential for subsequent superselective angiographic visualization of the feeder vessel and for successful embolization as the least invasive method of choice.
Robert Kierse; Ute Jensen; Hermann Helmberger; Gerhard Muth; Andrea Rieber
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  15     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2005-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1133-7     Citation Subset:  IM    
Department of Diagnostic Radiology, Hospital Dritter Orden, München, Germany.
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MeSH Terms
Aneurysm, False / etiology,  radiography*,  therapy
Catheterization, Swan-Ganz / adverse effects*
Diagnosis, Differential
Embolization, Therapeutic
Pulmonary Artery / injuries*
Tomography, X-Ray Computed*

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