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Percutaneous extraction of a pulmonary artery catheter inadvertently sewn to the right atrial wall
Journal article   Open access   Peer reviewed

Percutaneous extraction of a pulmonary artery catheter inadvertently sewn to the right atrial wall

Tyler P Rasmussen, Gary Goldsmith, Firas Zahr, Jay K Bhama and Prashant D Bhave
HeartRhythm Case Reports, Vol.2(6), pp.511-513
11/2016
DOI: 10.1016/j.hrcr.2016.08.003
PMCID: PMC5419990
PMID: 28491748
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Published (Version of record)CC BY-NC-ND V4.0 Open Access
url
https://doi.org/10.1016/j.hrcr.2016.08.003View
Published (Version of record)Heart Rhythm Case Reports 2016;2:511–513.

Abstract

Introduction: Following mitral valve replacement and subsequent mediastinal exploration, a pulmonary artery catheter was inadvertently sewn to the cardiac wall near the junction of the superior vena cava and right atrium. The electrophysiology service was consulted to aid in removal of the catheter. Excimer lasers have been used for pacemaker/implantable cardiac defibrillator lead extraction, but this case discusses the use of a mechanical cutting sheath coupled with a snare device for removal of an entrapped pulmonary artery catheter. This represents a novel approach to removal of catheters, leads, or other objects that may be sewn to the vascular or cardiac wall.
Cardiology Internal Medicine Circulatory and Respiratory Physiology OAfund Catheter Lead extraction Pulmonary artery Snare device Mechanical cutting device Case Reports

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