Pulmonary artery catheters are a useful tool for hemodynamic monitoring in high-risk patients during surgery and while in intensive care. However, there are major risks inherent to the device, and with modern day technology, their routine use has decreased. We discuss the need for routine insertion of pulmonary artery catheters in cardiac surgery. We also present a case of a left ventricular assist device implantation complicated by serious pulmonary hemorrhage due to pulmonary artery catheter insertion, highlighting the potentially life-threatening risks involved.
RanucciM. Which cardiac surgical patients can benefit from placement of a pulmonary artery catheter?Crit Care. 2006;10(suppl 3):S6. doi:10/1186/cc4833
2.
EvansDCDoraiswamyVAProsciakMP, et al. Complications associated with pulmonary artery catheters: comprehensive clinical review. Scand J Surg. 2009;98:199-208.
3.
LabrunieELevyCPaugamCAugereauBTubianaJM. Pulmonary artery pseudoaneurysm caused by Swan-Ganz catheter and treated by embolization [in French]. Ann Radiol (Paris). 1993;36:310-314.
4.
ChatterjeeK. The swan-Ganz catheters: past, present, and future. A viewpoint. Circulation. 2009;119:147-152.
5.
HarveySHarrisonDASingerM, et al. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomized control trial. Lancet. 2005;366:472-477.
6.
BossertTGummertJFBittnerHB, et al. Swan-Ganz catheter-induced severe complications in cardiac surgery: right ventricular perforation, knotting, and rupture of pulmonary artery. J Card Surg. 2006;21:292-295.
7.
JosephCGarrubaMSmithJAMelderA. Does the use of a pulmonary artery catheter make a difference during or after cardiac surgery?Heart Lung Circ. 2018;8:952-960.
8.
FengWCSinghAKDrewTDonatW. Swan-Ganz catheter-induced massive hemoptysis and pulmonary artery false aneurysm. Ann Thorac Surg. 1990;50:644-646.
9.
NellaiyappanMOmarHRJustizRSprenkerCCamporesiEMMangarD. Pulmonary artery pseudoaneurysm after Swan-Ganz catheterization: a case presentation and review of literature. Eur Heart J Acute Cardiovasc Care. 2015;3:281-288.
JudgeOJiFFlemingNLiuH. Current use of the pulmonary artery catheter in cardiac surgery: a survey study. J Cardiothorac Vasc Anesth. 2015;29:60-75.
12.
RajramSSDesaiNKKalraA, et al. Pulmonary artery catheters for adult patients in intensive care. Cochrane Database Syst Rev. 2013;(2):CD003408.
13.
ConnorsAFJrSperoffTDawsonNV, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA. 1996;276:889-897.