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Chest, Vol 83, 147-148, Copyright © 1983 by American College of Chest Physicians

ARTICLES

Knotting of intracardiac flow-directed balloon catheter. Simple surgical method of removal

L Michel, E Installe and K Joucken

A complete knot occurred in a 7F flow-directed balloon catheter inserted through the right internal jugular vein. The patient was intubated and placed under positive pressure ventilation. After gaining surgical exposure of the venipuncture site, a purse-string of Prolene 4- -0 suture was placed around it. The patient was placed in the Trendelenburg position and the knotted catheter withdrawn, while the purse-string suture was immediately tightened avoiding uncontrollable hemorrhage or massive air embolism.




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Copyright © 1983 by the American College of Chest Physicians.