Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Piotr N. Rudziński; Jan Henzel; Zofia Dzielińska; Barbara M. Lubiszewska; Ilona Michałowska; Piotr Szymański; Radosław Pracoń; Tomasz Hryniewiecki; Marcin Demkow

doi:10.5114/aic.2016.59364

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Original paper

Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Piotr N. Rudziński

,

Jan Henzel

,

Zofia Dzielińska

,

Barbara M. Lubiszewska

,

Ilona Michałowska

,

Piotr Szymański

,

Radosław Pracoń

,

Tomasz Hryniewiecki

,

Marcin Demkow

Adv Interv Cardiol 2016; 12, 2 (44): 135–139

DOI: https://doi.org/10.5114/aic.2016.59364

Online publish date: 2016/05/11

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AMA

Rudziński P, Henzel J, Dzielińska Z, et al. Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2016;12(2):135-139. doi:10.5114/aic.2016.59364.

APA

Rudziński, P., Henzel, J., Dzielińska, Z., Lubiszewska, B., Michałowska, I.,  & Szymański, P. et al. (2016). Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 12(2), 135-139. https://doi.org/10.5114/aic.2016.59364

Chicago

Rudziński, Piotr N., Jan Henzel, Zofia Dzielińska, Barbara M. Lubiszewska, Ilona Michałowska, Piotr Szymański,  and Radosław Pracoń et al. 2016. "Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 12 (2): 135-139. doi:10.5114/aic.2016.59364.

Harvard

Rudziński, P., Henzel, J., Dzielińska, Z., Lubiszewska, B., Michałowska, I., Szymański, P., Pracoń, R., Hryniewiecki, T.,  and Demkow, M. (2016). Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 12(2), pp.135-139. https://doi.org/10.5114/aic.2016.59364

MLA

Rudziński, Piotr N. et al. "Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 12, no. 2, 2016, pp. 135-139. doi:10.5114/aic.2016.59364.

Vancouver

Rudziński P, Henzel J, Dzielińska Z, Lubiszewska B, Michałowska I, Szymański P et al. Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2016;12(2):135-139. doi:10.5114/aic.2016.59364.

Introduction: The placement of a Swan-Ganz catheter into the pulmonary artery may lead to a number of complications (2–17%). In less than 0.2% of cases Swan-Ganz catheterization results in serious vascular damage – pulmonary artery rupture (PAR). This paper presents two distinct forms of iatrogenic PAR treated endovascularly using different vascular devices.

Aim: To evaluate the effectiveness of endovascular treatment and the application of different types of vascular devices in the management of pulmonary artery rupture caused by Swan-Ganz catheterization.

Material and methods: In this retrospective study we evaluated 2 patients in whom Swan-Ganz catheter application was used for perioperative monitoring and resulted in pulmonary artery rupture. This complication was treated endovascularly by means of interventional cardiology.

Results: We report the cases of 2 patients with a pulmonary artery pseudoaneurysm formed in the perioperative period. In case 1, a single, 4-loop, 3 mm diameter coil was implanted. In case 2, a 5 mm Amplatzer Vascular Plug IV was applied. In both cases, the endovascular approach resulted in total occlusion of the feeding artery and reduced further extravasation of the blood.

Conclusions: Despite its extremely low incidence, iatrogenic PAR is a serious, life-threatening complication of Swan-Ganz catheterization that requires urgent attention. Among available methods of treatment, percutaneous embolization is a relatively quick, safe, accurate and highly effective alternative to traumatizing surgery.

keywords:

Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Diagnosis and endovascular treatment: a single centre’s experience

Piotr N. Rudziński , Jan Henzel , Zofia Dzielińska , Barbara M. Lubiszewska , Ilona Michałowska , Piotr Szymański , Radosław Pracoń , Tomasz Hryniewiecki , Marcin Demkow

pulmonary artery, pulmonary arteriovenous malformation, pulmonary pseudoaneurysm, Swan-Ganz catheter, transcatheter embolization, vascular plugs

Piotr N. Rudziński

,

Jan Henzel

,

Zofia Dzielińska

,

Barbara M. Lubiszewska

,

Ilona Michałowska

,

Piotr Szymański

,

Radosław Pracoń

,

Tomasz Hryniewiecki

,

Marcin Demkow