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Harvest of Endothelial Cells from the Balloon Tips of Swan-Ganz Catheters after Right Heart Catheterization
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Right Atrial, Right Ventricular, Superior Vena Cava Dissection Caused by Swan-Ganz Catheter Placement

Nicholas Suraci, Pedro Garcia, Christos Mihos

  • 1Echocardiography Laboratory, Columbia University Division of Cardiology, Mount Sinai Heart Institute, 4300 Alton Road, Miami Beach, FL 33140 USA. osantana@msmc.com.

The Journal of Invasive Cardiology
|April 30, 2019
PubMed

Insights

A Swan-Ganz catheter may have caused cardiogenic shock by damaging the superior vena cava and heart lining. This case highlights a rare but serious complication of central venous catheterization.

Area of Science:

  • Cardiology
  • Medical Devices
  • Patient Safety

Background:

  • Central venous catheterization is a common procedure.
  • Swan-Ganz catheters are used for hemodynamic monitoring.
  • Complications can arise from invasive procedures.

Observation:

  • A patient developed cardiogenic shock post-Swan-Ganz catheter placement.
  • The patient's condition suggested a possible mechanical complication.

Findings:

  • The Swan-Ganz catheter may have caused dissection of the superior vena cava intima.
  • Endocardial injury secondary to catheter manipulation was also suspected.

Implications:

  • This case underscores the importance of careful catheter insertion technique.
  • Awareness of rare complications like vascular dissection is crucial for clinicians.
  • Prompt diagnosis and management are vital for patient outcomes.

Keywords:
dissectionechocardiogram

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