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Intracardiac Knotting of a Balloon-tipped, Flow-directed Pulmonary Artery Catheter: A Case Report
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Bong Chul Choi, Mee Young Chung, Chang Jae Kim, Jun Seuk Chea, Byung Ho Lee
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Korean J Crit Care Med. 2005;20(2):178-182.
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Abstract
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- The occurrence of knots and loops is a potential hazard of a balloon-tipped, flow-directed pulmonary artery (PA) catheter placement if excessive catheter length is passed into the right atrium or ventricle. Knotting of a balloon-tipped, flow-directed PA catheter leading to difficulty in its removal is a rare but serious complication. A case of knotted catheter in right atrium in a patient undergoing aortic valve replacement is presented. By passing a spring guidewire into PA catheter, we have untied the loose knotted catheter under simple fluoroscopic guidance in the intensive care unit.
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