Abstract
Placement and use of pulmonary artery catheters (PACs) carry potential risks. The authors describe a case of a patient who developed massive hemoptysis after placement of a PAC that caused a rupture of the pulmonary artery with pseudoaneurysm formation. Treatment was successfully achieved with transcatheter coil embolization. Pulmonary artery rupture and pseudoaneurysm formation are among the most serious complications of PAC use because of the associated risk of mortality. Patients with this complication may be asymptomatic or may present with variable amounts of hemoptysis immediately or days after using a PAC. The gold standard diagnostic test is pulmonary angiography, and the treatment of choice for most patients is transcatheter embolization. Physicians and other health care personnel handling these catheters should be familiar with the specific PAC balloon's inflation limits to avoid complications that may injure the patient.
| Original language | English |
|---|---|
| Pages (from-to) | 291-296 |
| Number of pages | 6 |
| Journal | Journal of Intensive Care Medicine |
| Volume | 19 |
| Issue number | 5 |
| DOIs | |
| State | Published - Sep 1 2004 |
Fingerprint
Keywords
- Hemoptysis
- Pulmonary artery pseudoaneurysm
- Swan-Ganz catheter
- Transcatheter embolization
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
Cite this
Pulmonary artery rupture induced by a pulmonary artery catheter : A case report and review of the literature. / Abreu, Alexandre; Campos, Michael A; Krieger, Bruce P.
In: Journal of Intensive Care Medicine, Vol. 19, No. 5, 01.09.2004, p. 291-296.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pulmonary artery rupture induced by a pulmonary artery catheter
T2 - A case report and review of the literature
AU - Abreu, Alexandre
AU - Campos, Michael A
AU - Krieger, Bruce P.
PY - 2004/9/1
Y1 - 2004/9/1
N2 - Placement and use of pulmonary artery catheters (PACs) carry potential risks. The authors describe a case of a patient who developed massive hemoptysis after placement of a PAC that caused a rupture of the pulmonary artery with pseudoaneurysm formation. Treatment was successfully achieved with transcatheter coil embolization. Pulmonary artery rupture and pseudoaneurysm formation are among the most serious complications of PAC use because of the associated risk of mortality. Patients with this complication may be asymptomatic or may present with variable amounts of hemoptysis immediately or days after using a PAC. The gold standard diagnostic test is pulmonary angiography, and the treatment of choice for most patients is transcatheter embolization. Physicians and other health care personnel handling these catheters should be familiar with the specific PAC balloon's inflation limits to avoid complications that may injure the patient.
AB - Placement and use of pulmonary artery catheters (PACs) carry potential risks. The authors describe a case of a patient who developed massive hemoptysis after placement of a PAC that caused a rupture of the pulmonary artery with pseudoaneurysm formation. Treatment was successfully achieved with transcatheter coil embolization. Pulmonary artery rupture and pseudoaneurysm formation are among the most serious complications of PAC use because of the associated risk of mortality. Patients with this complication may be asymptomatic or may present with variable amounts of hemoptysis immediately or days after using a PAC. The gold standard diagnostic test is pulmonary angiography, and the treatment of choice for most patients is transcatheter embolization. Physicians and other health care personnel handling these catheters should be familiar with the specific PAC balloon's inflation limits to avoid complications that may injure the patient.
KW - Hemoptysis
KW - Pulmonary artery pseudoaneurysm
KW - Swan-Ganz catheter
KW - Transcatheter embolization
UR - http://www.scopus.com/inward/record.url?scp=14844335085&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=14844335085&partnerID=8YFLogxK
U2 - 10.1177/0885066604265255
DO - 10.1177/0885066604265255
M3 - Article
C2 - 15358948
AN - SCOPUS:14844335085
VL - 19
SP - 291
EP - 296
JO - Journal of Intensive Care Medicine
JF - Journal of Intensive Care Medicine
SN - 0885-0666
IS - 5
ER -