scholarly journals Surgical Removal of a Knotted Intravascular Pulmonary Artery Catheter

2008 ◽  
Vol 1 ◽  
pp. CMTIM.S755
Author(s):  
Kotaro Kaneda ◽  
Tae-Hyung Han
Keyword(s):  
Pulmonary Artery ◽  
Spinal Surgery ◽  
Jugular Vein ◽  
Surgical Removal ◽  
Insertion Depth ◽  
Low Cardiac Output ◽  
Lumbar Spinal Surgery ◽  
The Right ◽  
Lumbar Spinal ◽  
Wedge Pressure

A pulmonary artery (PA) catheter was placed in a 60-year-old patient with congestive heart failure, undergoing lumbar spinal surgery. In the prone position, no wedge pressure wave could be obtained, and multiple attempts at repositioning were unsuccessful. Fluoroscopy showed a catheter knot in the right internal jugular vein, which was removed surgically through the original venotomy site. The knot was thought to be caused by excessive manipulation at too great an insertion depth, with low cardiac output. We conclude it is important to follow the guidelines for PA catheter placement, using step-wise gentle manual attempts. If knotted, radiological interventions and surgical extrication must be considered.

Do we have the right PROMs for measuring outcomes in lumbar spinal surgery?

2017 ◽  
Vol 26 (3) ◽  
pp. 816-824 ◽  
Author(s):  
O. M. Stokes ◽  
A. A. Cole ◽  
L. M. Breakwell ◽  
A. J. Lloyd ◽  
C. M. Leonard ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Measuring Outcomes ◽  
Lumbar Spinal Surgery ◽  
The Right ◽  
Lumbar Spinal

Letter to the editor concerning “Do we have the right PROMs for measuring outcomes in lumbar spinal surgery?” by O.M. Stokes et al. Eur Spine J (2017) 26:816–824

2017 ◽  
Vol 27 (1) ◽  
pp. 242-243
Author(s):  
Lenie Denteneer ◽  
Ulrike Van Daele ◽  
Steven Truijen ◽  
Willem De Hertogh ◽  
Jill Meirte ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Letter To The Editor ◽  
Measuring Outcomes ◽  
Lumbar Spinal Surgery ◽  
The Right ◽  
Lumbar Spinal

scholarly journals Pulmonary Artery Catheter Seemingly Entrapped in the Skull

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
S. M. Friedman ◽  
G. R. Rajan
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Disease ◽  
Pulmonary Artery Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Foramen ◽  
Surgical Removal ◽  
Introducer Sheath ◽  
Catheter Tip ◽  
The Right

A pulmonary artery catheter is an important tool for the monitoring of hemodynamics in patients. Unfortunately, misplacement of a catheter tip may occur in the vasculature local to the intended placement. Misplacement of the catheter can be further complicated by entrapment at the unintended destination. We present a case of a misplaced and entrapped pulmonary artery catheter in a patient with worsening pulmonary disease. After multiple unsuccessful attempts to float the catheter, it was partially retracted and found to be stuck. Imaging showed the tip terminating in the right internal jugular vein at the level of the jugular foramen. It was initially suspected that the catheter had become looped, knotted, or otherwise entangled within the vasculature of the skull and surgical removal would be necessary. Before surgical removal was performed, it was instead determined that the catheter had become kinked and entrapped at the end of the introducer sheath, and noninvasive removal was accomplished by first removing the introducer sheath.

Predictive Factors for the Use of Autologous Cell Saver Transfusion in Lumbar Spinal Surgery

Spine ◽  
2013 ◽  
Vol 38 (4) ◽  
pp. E217-E222 ◽  
Author(s):  
Roger Kirk Owens ◽  
Charles H. Crawford ◽  
Mladen Djurasovic ◽  
Chelsea E. Canan ◽  
Lauren O. Burke ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Spinal Surgery ◽  
Cell Saver ◽  
Autologous Cell ◽  
Lumbar Spinal Surgery ◽  
Lumbar Spinal
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