Der verknotete intravasale Katheter--was tun?
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Der verknotete intravasale Katheter--was tun? / Debus, E S; Larena-Avellaneda, A; Markus, C; Anetseder, M; Moll, R; Fichtner-Feigl, S; Franke, S.
In: ZBL CHIR, Vol. 128, No. 9, 09.2003, p. 746-749.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Der verknotete intravasale Katheter--was tun?
AU - Debus, E S
AU - Larena-Avellaneda, A
AU - Markus, C
AU - Anetseder, M
AU - Moll, R
AU - Fichtner-Feigl, S
AU - Franke, S
PY - 2003/9
Y1 - 2003/9
N2 - INTRODUCTION: Fixed intravasal catheters are mainly caused by knots. Removal can be achieved by intervention or surgical exploration, but this is associated with additional morbidity and mortality.METHODS: 2 patients were operated for knotted catheters in our institution during the last 2 years, and their records are demonstrated. Treatment options, possible complications, catheter types and locations of knotting are analyzed by a medline search.RESULTS: the search revealed the data from 115 patients. 53 (46.1%) of all "lost" catheters were Swan-Ganz catheters. In 60.9% the catheters could be removed by radiological interventions. Open revision was necessary in 33% of all cases. The catheters were left in place when the clinical condition of the patient did not allow removal (n = 7). However, these patients suffered from a high mortality (5 of 7 patients). Over all mortality reached 8.7%. In the own two cases one removal by sternotomy and one by exploration of the right internal jugular vein were necessary, both operations succeeded without complications.CONCLUSION: Most of all "lost" intravasal catheters are removed by radiological intervention; only one third needs open surgical therapy. These procedures are harmful for the patient and bear considerable risks for complications.
AB - INTRODUCTION: Fixed intravasal catheters are mainly caused by knots. Removal can be achieved by intervention or surgical exploration, but this is associated with additional morbidity and mortality.METHODS: 2 patients were operated for knotted catheters in our institution during the last 2 years, and their records are demonstrated. Treatment options, possible complications, catheter types and locations of knotting are analyzed by a medline search.RESULTS: the search revealed the data from 115 patients. 53 (46.1%) of all "lost" catheters were Swan-Ganz catheters. In 60.9% the catheters could be removed by radiological interventions. Open revision was necessary in 33% of all cases. The catheters were left in place when the clinical condition of the patient did not allow removal (n = 7). However, these patients suffered from a high mortality (5 of 7 patients). Over all mortality reached 8.7%. In the own two cases one removal by sternotomy and one by exploration of the right internal jugular vein were necessary, both operations succeeded without complications.CONCLUSION: Most of all "lost" intravasal catheters are removed by radiological intervention; only one third needs open surgical therapy. These procedures are harmful for the patient and bear considerable risks for complications.
KW - Aged
KW - Catheterization/adverse effects
KW - Catheterization, Swan-Ganz/adverse effects
KW - Catheters, Indwelling/adverse effects
KW - Device Removal
KW - Female
KW - Foreign Bodies/diagnostic imaging
KW - Humans
KW - Male
KW - Radiography, Thoracic
KW - Tomography, X-Ray Computed
U2 - 10.1055/s-2003-42752
DO - 10.1055/s-2003-42752
M3 - SCORING: Zeitschriftenaufsatz
C2 - 14533043
VL - 128
SP - 746
EP - 749
JO - ZBL CHIR
JF - ZBL CHIR
SN - 0044-409X
IS - 9
ER -
