Lara-González VR, Carrasco-González H, Chávez-Aguilar E, González-Mendoza B, Moya-Jiménez S, Martínez-Coria T

Language: Spanish
References: 7
Page: 85-87
PDF size: 145.28 Kb.

ABSTRACT

Background. The first description of a knotted intravascular device is attributed to Johansson in 1954. The Swan-Ganz catheter allows measurement of cardiac output and hemodynamic calculations. The incidence of complications related to placement is from 0.03% to 1%.
Objective. To identify the main complications of Swan-Ganz catheter placement as well as the therapeutic alternatives.
Case report. A patient with severe aortic stenosis and double aortic lesion, aortic insufficiency, programmed to aortic valve replacement to which a Swan-Ganz catheter was placed by jugular puncture, with resistance and difficulty.
Results. With radiographic control by fluoroscopy, it revealed bending and knot of the catheter in the trajectory of the internal jugular vein, vascular exploration was performed in the right internal jugular vein, finding a Swan-Ganz catheter elbowed and knotted; venotomy was performed with catheter removal, and vascular repair (venorraphy).
Conclusions. Swan-Ganz catheter has long been used as a support to measure hemodynamic variables in patients who require tight monitoring, being more securely placed with the support of diagnostic imaging methods, as well as the complications associated with their placement and which are the diagnostic and therapeutic methods to resolve the inherent events of the procedure.

REFERENCES

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