RIGHT BUNDLE-BRANCH BLOCK AND COMPLETE HEART-BLOCK CAUSED BY THE SWAN-GANZ CATHETER

被引：50

作者：

THOMSON, IR ^{[1
]}

DALTON, BC ^{[1
]}

LAPPAS, DG ^{[1
]}

LOWENSTEIN, E ^{[1
]}

机构：

[1] MASSACHUSETTS GEN HOSP,DEPT ANESTHESIA,CARDIAC ANESTHESIA GRP,BOSTON,MA 02114

来源：

ANESTHESIOLOGY | 1979年 / 51卷 / 04期

关键词：

D O I：

10.1097/00000542-197910000-00021

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Pulmonary-artery catheterization for hemodynamic monitoring has found widespread acceptance since the introduction of the balloon-tipped flow-directed catheter by Swan and Ganz. Transient right bundle-branch block with insertion of the catheter has been reported to occur in patients with acute myocardial infarction. This complication, however, was thought to be extremely rare, since the soft, flexible, balloon-tipped catheters do not carry the same risk of injury to the cardiac conduction system as do conventional cardiac catheters. This report documents a high incidence of right bundle-branch block (RBBB) occurring during Swan-Ganz catheterization of the pulmonary artery in patients with stable coronary-artery disease. The occurrence of the potentially fatal complication of complete heart block (CHB) associated with Swan-Ganz catheterization of two patients with pre-existent left bundle-branch block (LBBB) is also reported.

引用

页码：359 / 362

页数：4

共 14 条

[1] COMPLETE HEART-BLOCK CAUSED BY SWAN-GANZ CATHETER [J].

ABERNATHY, WS .

CHEST, 1974, 65 (03) :349-349

[2] INDUCTION OF IATROGENIC ELECTROCARDIOGRAPHIC PATTERNS DURING ELECTROPHYSIOLOGIC STUDIES [J].

AKHTAR, M ;

DAMATO, AN ;

GILBERTLEEDS, CJ ;

BATSFORD, WP ;

REDDY, CP ;

GOMES, JAC ;

CALON, AH ;

DHATT, MS .

CIRCULATION, 1977, 56 (01) :60-65

[3] BEDSIDE DIAGNOSIS OF LATENT CARDIAC COMPLICATIONS IN ACUTELY ILL PATIENTS [J].

FORRESTER, JS ;

SWAN, HJC ;

DIAMOND, GA .

JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1972, 222 (01) :59-+

[4]

FREED MD, 1973, PEDIATRICS, V51, P935

[5] PERSISTENT ATRIOVENTRICULAR DISSOCIATION WITH BLOCK AND NODAL RHYTHM AFTER CARDIAC CATHETERIZATION [J].

GAULT, JH ;

ROSS, J ;

BRAUNWALD, E .

AMERICAN HEART JOURNAL, 1966, 71 (05) :690-+

[6] COMPLETE HEART-BLOCK COMPLICATING CARDIAC CATHETERIZATION [J].

GUPTA, PK ;

HAFT, JI .

CHEST, 1972, 61 (02) :185-&

[7] COMPLETE HEART-BLOCK OCCURRING DURING CARDIAC-CATHETERIZATION IN PATIENTS WITH PREEXISTING BUNDLE-BRANCH BLOCK [J].

KIMBIRIS, D ;

DREIFUS, LS ;

LINHART, JW .

CHEST, 1974, 65 (01) :95-97

[8] TRANSIENT RIGHT BUNDLE-BRANCH BLOCK WITH SWAN-GANZ CATHETERIZATION [J].

LUCK, JC ;

ENGEL, TR .

AMERICAN HEART JOURNAL, 1976, 92 (02) :263-264

[9] ANATOMICAL CONFIGURATION OF HIS-BUNDLE AND BUNDLE BRANCHES IN HUMAN HEART [J].

MASSING, GK ;

JAMES, TN .

CIRCULATION, 1976, 53 (04) :609-621

[10] BUNDLE-OF-HIS RECORDING OF COMPLETE HEART BLOCK DURING CARDIAC CATHETERIZATION - ELECTROPHYSIOLOGIC DOCUMENTATION OF BILATERAL BUNDLE BRANCH BLOCK [J].

PATTON, RD ;

BORDIA, A ;

BALLANTYNE, F ;

RYAN, GF ;

GOLDSTEIN, S ;

HEINLE, RA .

AMERICAN HEART JOURNAL, 1971, 81 (01) :108-+

← 1 2 →