Perforation of the right innominate vein by pulmonary artery catheter introducer sheath: a case report

Abstract A complication following placement of the pulmonary artery catheter (PAC) is presented. Resistance was experienced during insertion of the introducer sheath, and the PAC could not be advanced into the right heart. Finally, the PAC was successfully placed through the left internal jugular ve...

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Veröffentlicht in:	Journal of clinical anesthesia 2009-05, Vol.21 (3), p.206-208
Hauptverfasser:	Chen, Cheng-Yu, MD, Chen, Kuan-Yu, MD, Taso, Shao-Lun, MD, Lin, Shih-Kai, MD, Lu, Kuan-Ta, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anesthesia Anesthesia & Perioperative Care Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Catheterization - adverse effects Catheters Central venous access complications Central venous catheter complications Coronary Artery Bypass Dopamine Family medical history Female Humans Innominate vein perforation Intubation Medical sciences Pain Medicine Pulmonary Artery - injuries Pulmonary artery catheter Surgery
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Beschreibung
Zusammenfassung:	Abstract A complication following placement of the pulmonary artery catheter (PAC) is presented. Resistance was experienced during insertion of the introducer sheath, and the PAC could not be advanced into the right heart. Finally, the PAC was successfully placed through the left internal jugular vein. Perforation of the right innominate vein was identified following emergent exploratory surgery for cardiovascular collapse.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2008.06.040