Surgical removal of a knotted Swan-Ganz catheter inadvertently placed in the common carotid artery

Marco Coli; Federica Ruggiero; Cesare Battocchio; Elisabetta Giorni; Adriana Toncelli; Giovanni Melina; Maurizio Taurino; Pasqualino Sirignano

Annals of Vascular Surgery - Brief Reports and Innovations (Sep 2024)

Surgical removal of a knotted Swan-Ganz catheter inadvertently placed in the common carotid artery

Marco Coli,
Federica Ruggiero,
Cesare Battocchio,
Elisabetta Giorni,
Adriana Toncelli,
Giovanni Melina,
Maurizio Taurino,
Pasqualino Sirignano

Affiliations

Marco Coli: Cardiac Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Rome, Italy; Corresponding author at: Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Cardiac Surgery Unit, Sant'Andrea Hospital of Rome, Via di Grottarossa, 1035/1039 00189 Roma, Italy.
Federica Ruggiero: Vascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Rome, Italy
Cesare Battocchio: Vascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Rome, Italy
Elisabetta Giorni: Anesthesia and Intensive Care Medicine Unit, Sant'Andrea Hospital of Rome, Department of Clinical and Surgical Translational Medicine, “Sapienza” University of Rome, Rome, Italy
Adriana Toncelli: Vascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Rome, Italy
Giovanni Melina: Cardiac Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Rome, Italy
Maurizio Taurino: Vascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of Molecular and Clinical Medicine, “Sapienza” University of Rome, Rome, Italy
Pasqualino Sirignano: Vascular and Endovascular Surgery Unit, Sant'Andrea Hospital of Rome, Department of General and Specialistic Surgery, “Sapienza” University of Rome, Rome, Italy

Journal volume & issue: Vol. 4, no. 3
p. 100328

Abstract

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A Swan-Ganz catheter is an intravenous device used for the invasive measurement of pulmonary capillary wedge pressure and other cardiovascular measurements often utilized in major surgical procedures and critical care units. Several device-related complications were reported in literature - arterial puncture, pneumothorax, inadvertent arterial catheter insertion due to non-ultrasound-guided placement, and formation of knots. This paper presents a case of inadvertent left carotid artery insertion of a Swan-Ganz catheter, complicated by a knot formation requiring surgical intervention to successfully remove the catheter.

Published in Annals of Vascular Surgery - Brief Reports and Innovations

ISSN: 2772-6878 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system; Medicine: Surgery
Website: https://www.sciencedirect.com/journal/annals-of-vascular-surgery-brief-reports-and-innovations

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