Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 4, Number 3, March 2013, pages 163-165

Nonsurgical Removal of Knotted Pulmonary Artery Catheter

Figures

Figure 1.
Figure 1. Fluoroscopy demonstrating knotted pulmonary artery catheter (PAC). The introducer sheath abuts the loose knot prior to applying traction to the PAC to reduce the knot size against the introducer.
Figure 2.
Figure 2. Knotted pulmonary artery catheter (PAC) after removal. The knotted PAC was removed by applying traction to the PAC, thereby reducing the knot size against the introducer. The PAC and introducer were then removed en bloc.

Table

Table 1. Preoperative Laboratory Testing
 
ProcedureHemoglobinINRPTTPlateletFibrinogenTEG, RTEG, KTEG, α-AngleTEG, maximum amplitude
(RR 13.5 - 17.5 g/dL)(RR 0.8 - 1.2)(RR 21 - 33 sec)(RR 150 - 450 × 109/L)(RR 175 - 430 mg/dL)(RR 2.9 - 6.4 min)(RR 1.0 - 1.8 min)(RR 64 - 78 deg)(RR 57.1 - 72.6 mm)
Combined liver kidney transplantation (CLKT), international normalized ratio (INR), orthotopic liver transplantation (OLT), partial thromboplastin time (PTT), reference range (RR), thromboelastogram (TEG).
Patient 1OLT12.31.43660 × 1092266.52.852.953.8
Patient 2CLKT7.21.95876 × 10912413.33.150.444.5