Removal of a Knotted Flow-Directed Catheter by a Nonsurgical Method
Authors: SAMUEL P. KUMAR
Journal: Annals of Internal Medicine (1980)

Brief Reports1 May 1980Removal of a Knotted Flow-Directed Catheter by a Nonsurgical MethodSAMUEL P. KUMAR, M.D., JAVAD YANS, M.D., MANMOHANLAL KWATRA, M.D., DAVID M. LOESCH, M.D., VICHIT VITURAWONG, M.D.SAMUEL P. KUMAR, M.D.Search for more papers by this author, JAVAD YANS, M.D.Search for more papers by this author, MANMOHANLAL KWATRA, M.D.Search for more papers by this author, DAVID M. LOESCH, M.D.Search for more papers by this author, VICHIT VITURAWONG, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-92-5-639 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFlow-directed balloon-tipped catheters have found extensive application in hemodynamic monitoring of critically ill patients. Knotting is a rare complication associated with their use (1-5). We describe a case in which knotting of a relatively large (7 French) balloon-tipped flow-directed (Swan-Ganz) catheter occurred. A simple nontraumatic method not previously described facilitated removal of the knotted catheter, obviating the need for surgery.A 62-year-old white man presented with severe congestive heart failure. His pulse was 78/min and blood pressure 112/70 mm Hg. Gross jugular venous distension, a prominent S3gallop, and bilateral diffuse rales were noted. A chest roentgenogram revealed cardiomegaly and...References1. MEISTERFURRENGELSONESFRANKL SCTMW. Knotting of a flow-directed catheter about a cardiac structure. Cathet Cardiovasc Diagn. 1977;3:171-5. CrossrefMedlineGoogle Scholar2. LIPPO'DONOGHUERESNEKOV HKL. Intracardiac knotting of a flow-directed balloon catheter. N Engl J Med. 1971;284:220. Letter. CrossrefMedlineGoogle Scholar3. DAUMSCHAPIRA SM. Intracardiac knot formation in a Swan-Ganz catheter. Anesth Analg (Cleve). 1973;52:862-3. MedlineGoogle Scholar4. MONDCLARKNESBITTSCHLANT HDSR. A technique for unknotting an intracardiac flow-directed balloon catheter. Chest. 1975;67:731-2. CrossrefMedlineGoogle Scholar5. SWAROOP S. Knotting of two central venous monitoring catheters. Am J Med. 1972;53:386-8. CrossrefMedlineGoogle Scholar6. SABELBRAMWIT GD. Removal of a knotted subclavian semi-floating pacing wire. Chest. 1972;62:654. Letter. CrossrefMedlineGoogle Scholar7. SKINNERBURROUGHS JJ. Intracardiac knotting of a catheter during right heart catheterization. Circulation. 1961;23:81-3. CrossrefGoogle Scholar8. BALDIFISHENFELDBENCHIMOL JJA. Complete knotting of a catheter and a nonsurgical method of removal. Chest. 1974;65:93-5. CrossrefMedlineGoogle Scholar9. JOHANSSONMALMSTRï¿½MUGGLA LGL. Intracardiac knotting of the catheter in heart catheterization. J Thorac Surg. 1954;27:605-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Medical Center Des Moines, Iowa PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByClinical approach to the knotting diagnostic quadripolar catheter during zero‐fluoro electrophysiological studyEndovascular catheter knot untying: A new techniquePercutaneous Retrieval of a Pulmonary Artery Catheter Knot in Pacing ElectrodesNonsurgical removal of a knotted pediatric femoral vein catheterAccuracy of Emergency Physician Assessment of Left Ventricular Ejection Fraction and Central Venous Pressure Using EchocardiographyRemoval of Knotted Intravascular Devices. Case Report and Review of the LiteratureKomplikationen der PulmonalarterienkatheterisierungNoninvasive assessment of cardiac output in critically ill patients by analysis of the finger blood pressure waveformA Technique to Remove Knotted Pulmonary Artery CathetersNonsurgical removal of a knotted pulmonary artery catheterBeware the pulsating swanVentricular entrapment of a swan-ganz catheter: A technique for nonsurgical removalDouble knot of swan ganz catheterTriple knotting of a central venous catheterSnare loop technique for removal of broken steerable PTCA wireInvasive bedside hemodynamic monitoringKnotting of a Bypass Graft Catheter: Report of a CaseClinical Investigation of the Cardiovascular System in the Critically Ill: Invasive TechniquesNonsurgical Removal of a Kinked Right Coronary CatheterA new nonsurgical technique for untying tight knots in flow-directed balloon cathetersNonsurgical untangling of a multiple-coiled flow-directed catheter 1 May 1980Volume 92, Issue 5Page: 639-640KeywordsBlood pressureCathetersHeart failureHeart rateHemodynamicsSurgeryThorax Issue Published: 1 May 1980 PDF DownloadLoading ...