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Hemoptysis Associated with the-Use of a Flow-Directed Catheter

*Assistant Professor of Anesthesiology. Department of Anesthesiology, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, Missouri 63110.

Abstract

The introduction of flow-directed, balloon-tipped pulmonary arterial catheters has made possible measurement of central venous pressure, pulmonary arterial pressure (PAP), and pulmonary-capillary wedge pressure (PCWP) before, during, and after anesthesia and surgery. Complications, including intracardiac knotting,¹ inadvertent snaring² in the right atrium, have been reported. Perforation of the pulmonary artery with3 and without⁴ hemoptysis has also been reported in patients with pulmonary arterial hypertension. The present case report records an instance of perforation of the pulmonary vasculature associated with the use of a flow-directed catheter in a patient without pulmonary hypertension.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999