Difficult removal: A Swan-Ganz catheter coiled on the central venous catheter

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Abstract

Background: The Swan-Ganz catheter plays an important role in gaining understanding of cardiac pathophysiology and in the hemodynamic monitoring of critically ill patients. Difficult removal of the Swan-Ganz catheter is a rare but serious complication. Case presentation: This case presents the difficult removal of a Swan-Ganz catheter in a 28-year-old female patient after cardiac surgery. Fluoroscopy and chest X-ray revealed that a portion of the Swan-Ganz catheter was coiled on the central venous catheter at the level of the superior vena cava. Under X-ray guidance, the central venous catheter was first removed, and then the Swan-Ganz catheter was successfully withdrawn through the percutaneous introducer sheath. Conclusions: This case report provides an unreported reason for difficult removal and describes a successful solution. This report suggests that X-ray examinations may be necessary before removing the Swan-Ganz catheter.

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APA

Shen, J., Ma, L., & Huang, H. (2020). Difficult removal: A Swan-Ganz catheter coiled on the central venous catheter. Journal of Cardiothoracic Surgery, 15(1). https://doi.org/10.1186/s13019-020-01149-4

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