1977
DOI: 10.1002/ccd.1810030209
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Knotting of a flow‐directed catheter about a cardiac structure

Abstract: An instance of knotting of a flow-directed catheter about an intracardiac structure, presumably part of the tricuspid valve apparatus, is described. Because of the patient's severe pulmonary disease, cardiac surgery to remove the catheter was contraindicated. The central portion of the catheter was allowed to remain in situ, without apparent ill effects over a 16 month period.

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Cited by 17 publications
(3 citation statements)
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“…In spite of all these techniques there are reports describing leaving a catheter in situ for 16 months. Meisters et al 8 have described a catheter lodged around the tricuspid valve apparatus, and since the patient was very sick, no surgical removal was possible. The PAC-Man trial and the ESCAPE trials9 have listed the complications of pulmonary artery monitoring.…”
Section: Discussionmentioning
confidence: 99%
“…In spite of all these techniques there are reports describing leaving a catheter in situ for 16 months. Meisters et al 8 have described a catheter lodged around the tricuspid valve apparatus, and since the patient was very sick, no surgical removal was possible. The PAC-Man trial and the ESCAPE trials9 have listed the complications of pulmonary artery monitoring.…”
Section: Discussionmentioning
confidence: 99%
“…In one case (not with a pulmonary artery flotation catheter) the catheter was removed by cardiotomy' and in another the catheter was left in situ for over a year as the patient was too ill to withstand an operation for its removal. 2 Although knots in pulmonary artery flotation catheters are rare, there are many reports of them in the literature and of their successful removal, either by drawing the knot tight and then pulling them through a venotomi or by using guidewires to unknot the catheter. 4 A knot around an intracardiac structure is more serious.…”
Section: Discussionmentioning
confidence: 99%
“…There are various methods of removing knots, involving intravascular catheter maneuvering, passing the wire to straighten it, or use of grasping forceps or snare devices to immobilize the catheter over the knot [1,2]. Surgical removal of the catheter after relocating it to a safe site is also possible but is preferred in cases without extra dissection of vessels [3].…”
mentioning
confidence: 99%