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Secondary migration of a pre-existing central venous catheter due to a Swan-Ganz catheter insertion – A case report –
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Type
Academic journal
Author
Cho Joonho (Department of Anesthesiology and Pain Medicine Sanggye Paik Hospital) Yoo Byunghoon (인제대학교부속상계백병원) Park Jihwan (Department of Anesthesiology and Pain Medicine Inje University Sanggye Paik Hospital) Lim Yunhee (Department of Anesthesiology and Pain Medicine Inje University Sanggye Paik Hospital)
Journal
대한마취통증의학회(구 대한마취과학회) Anesthesia and Pain Medicine Anesthesia and Pain Medicine Vol.18 No.1 KCI Accredited Journals
Published
2023.1
Pages
46 - 50 (5page)
DOI
10.17085/apm.22212

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Secondary migration of a pre-existing central venous catheter due to a Swan-Ganz catheter insertion – A case report –
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Background: The entanglement of multiple central venous catheters is a rare and serious complication. The Swan-Ganz catheter is a responsible for various cases. Case: A 66-year-old male patient was under general anesthesia for a coronary artery bypass graft surgery. As he had a pre-existing Perm catheter in the right subclavian vein, a Swan-Ganz catheter was inserted into the left internal jugular vein. Chest radiograph after catheter placement revealed that the Perm catheter had migrated to the left brachiocephalic vein. The surgeon attempted to reposition it manually, but postoperative radiograph showed that it had rolled into a loop. On postoperative day 1, radiological intervention was performed to untangle the loop, which was successful.Conclusions: After placing a Swan-Ganz catheter in patients with a pre-existing central venous catheter, the presence of entanglement should be assessed. In such cases, radiology-guided correction is recommended, as a blind attempt to disentangle can aggravate the condition.
#Anesthesia #cardiac procedures #Catheterization #Swan-Ganz #Catheters #indwelling #Central venous catheters #Equipment failure #Intraoperative complications.

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