Skip Navigation
Skip to contents

ACC : Acute and Critical Care

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
5 "pulmonary artery"
Filter
Filter
Article category
Keywords
Publication year
Authors
Original Article
Pulmonary
Association of pulmonary arterial pressure with volume status in patients with acute respiratory distress syndrome receiving extracorporeal membrane oxygenation
Tae Hwa Hong, Hyoung Soo Kim, Sunghoon Park
Acute Crit Care. 2022;37(2):159-167.   Published online March 11, 2022
DOI: https://doi.org/10.4266/acc.2021.00927
  • 3,923 View
  • 211 Download
AbstractAbstract PDFSupplementary Material
Background
Data on pulmonary hemodynamic parameters in patients with acute respiratory distress syndrome (ARDS) receiving extracorporeal membrane oxygenation (ECMO) are scarce.
Methods
The associations between pulmonary artery catheter parameters for the first 7 days of ECMO, fluid balance, and hospital mortality were investigated in adult patients (aged ≥19 years) who received venovenous ECMO for refractory ARDS between 2015 and 2017.
Results
Twenty patients were finally included in the analysis (median age, 56.0 years; interquartile range, 45.5–68.0 years; female, n=10). A total of 140 values were collected for each parameter (i.e., 7 days×20 patients). Net fluid balance was weakly but significantly correlated with systolic and diastolic pulmonary arterial pressures (PAPs; r=0.233 and P=0.011; r=0.376 and P<0.001, respectively). Among the mechanical ventilation parameters, above positive end-expiratory pressure was correlated with systolic PAP (r=0.191 and P=0.025), and static compliance was negatively correlated with diastolic PAP (r=−0.169 and P=0.048). Non-survivors had significantly higher systolic PAPs than in survivors. However, in multivariate analysis, there was no significant association between mean systolic PAP and hospital mortality (odds ratio, 1.500; 95% confidence interval, 0.937–2.404; P=0.091).
Conclusions
Systolic PAP was weakly but significantly correlated with net fluid balance during the early ECMO period in patients with refractory ARDS receiving ECMO.
Case Reports
Knotting of Pulmonary Artery Catheter During Tricuspid Valve Surgery: A Case Report
Kyung Chen Lee, Wol Seon Jung, Yong Beom Kim, Ji Yeon Lee
Korean J Crit Care Med. 2012;27(1):45-48.
DOI: https://doi.org/10.4266/kjccm.2012.27.1.45
  • 2,368 View
  • 83 Download
  • 1 Crossref
AbstractAbstract PDF
The use of pulmonary artery catheter can be helpful in managing patients after cardiac surgery. Nevertheless, there is a risk of serious complications, such as knotting. A 61 year old man underwent tricuspid valve replacement under cardiopulmonary bypass (CPB). After implantation of a stented tissue valve in the tricuspid valve, repositioning of the catheter was performed. After weaning from CPB, an abnormal pattern of pulmonary artery pressure was suddenly observed on the monitor. Resistance was met when removing the catheter with the balloon deflated, at a 20 cm distance from the tip of the catheter. Chest radiography showed a knot in the catheter within the right brachiocephalic vein. Superior vena cava opened and the distal part of the catheter with the knot was successfully removed.

Citations

Citations to this article as recorded by  
  • Ionic conductivity evolution of isotropic crystal with double strained interfaces
    Chao Feng, Jipeng Fei, Kechun Wen, Weiqiang Lv, Zuoxiang Zhang, Minda Zou, Fei Yang, Muhammad Waqas, Weidong He
    Solid State Ionics.2017; 303: 167.     CrossRef
Detection of Pulmonary Artery Catheter Knotting by Transesophageal Echocardiography: A Case Report
Eun Soo Kim, Seung Hoon Baek, Kyu Youn Jung, Jae En Kim
Korean J Crit Care Med. 2011;26(2):98-100.
DOI: https://doi.org/10.4266/kjccm.2011.26.2.98
  • 2,403 View
  • 10 Download
  • 1 Crossref
AbstractAbstract PDF
Placement of a pulmonary artery catheter is associated with various complications, including catheter knotting. Fluoroscopy can be used to visualize and confirm catheter knotting. Transesophageal echocardiography is readily available to detect knot formation in the operating room or intensive care unit. We present a case in which pulmonary artery catheter knotting was detected by transesophageal echocardiography. This method may be useful in the operating room or in the intensive care unit to identify the presence and location of catheter knotting.

Citations

Citations to this article as recorded by  
  • Knotting of Pulmonary Artery Catheter During Tricuspid Valve Surgery - A Case Report -
    Kyung Chen Lee, Wol Seon Jung, Yong Beom Kim, Ji Yeon Lee
    Korean Journal of Critical Care Medicine.2012; 27(1): 45.     CrossRef
Intracardiac Knotting of a Balloon-tipped, Flow-directed Pulmonary Artery Catheter: A Case Report
Bong Chul Choi, Mee Young Chung, Chang Jae Kim, Jun Seuk Chea, Byung Ho Lee
Korean J Crit Care Med. 2005;20(2):178-182.
  • 1,564 View
  • 12 Download
AbstractAbstract PDF
The occurrence of knots and loops is a potential hazard of a balloon-tipped, flow-directed pulmonary artery (PA) catheter placement if excessive catheter length is passed into the right atrium or ventricle. Knotting of a balloon-tipped, flow-directed PA catheter leading to difficulty in its removal is a rare but serious complication. A case of knotted catheter in right atrium in a patient undergoing aortic valve replacement is presented. By passing a spring guidewire into PA catheter, we have untied the loose knotted catheter under simple fluoroscopic guidance in the intensive care unit.
Suturing of a Pulmonary Artery Catheter during Open Heart Surgery
Kyoo Sub Chung, Seong Wan Baik, Jae Young Kwon, Jae Woo Kim, Jin Ho Song
Korean J Crit Care Med. 1998;13(1):109-112.
  • 1,459 View
  • 62 Download
AbstractAbstract PDF
Insertion of a pulmonary artery catheter for the measurement of pulmonary artery pressures and cardiac output has been widely used for the management of patients undergoing open heart surgery. Complications of pulmonary artery catheter insertion include cardiac arrhythmia, thromboembolism, tricuspid valve injury, intracardiac knotting, pulmonary artery rupture. We experienced a case of catheter-related complication which was caused by suturing pulmonary artery catheter during right atrial bleeding control during open heart surgery. The catheter was attached to the right atrial wall by nylon suture and successfully removed by operation without significant complication.

ACC : Acute and Critical Care