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2003, Número 3

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Cir Cir 2003; 71 (3)


Anudamiento de catéter de Swan-Ganz en la rama derecha de la arteria pulmonar

Carrillo-Esper R, Visoso-Palacios P, Suárez-Mendoza AC

Idioma: Español
Referencias bibliográficas: 48
Paginas: 229-234
Archivo PDF: 93.85 Kb.


RESUMEN

El anudamiento del catéter de Swan-Ganz es una complicación poco frecuente. Éste es el segundo caso reportado en nuestro país en un lapso de 20 años. Los factores de riesgo predisponentes son: colocación a ciegas, uso de catéteres delgados, calentamiento del catéter, no inflado del globo, múltiples intentos de colocación con introducción de gran parte del catéter y dilatación de cavidades cardíacas derechas, los cuales condicionan el desarrollo de asas y formación de nudos. La localización más frecuente es en aurícula y ventrículo derechos, aunque también se han descrito en vena subclavia, tronco y ramas de la arteria pulmonar. Para el diagnóstico se utilizan: radiografía simple de tórax, fluoroscopia y ecocardiografía. El abordaje terapéutico dependerá de las características del nudo y puede ser mediante técnicas no quirúrgicas y quirúrgicas.


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