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Neurosurgery. 1995 Nov;37(5):872-5; discussion 875-6.

Complications of Swan-Ganz catheterization for hemodynamic monitoring in patients with subarachnoid hemorrhage.

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1
Department of Neurological Surgery, Wills Neurosensory Institute, Thomas Jefferson University Hospital, Pennsylvania Hospital, Philadelphia, USA.

Abstract

Invasive hemodynamic monitoring has become standard in the management of aneurysmal subarachnoid hemorrhage. This study is a retrospective analysis of 630 Swan-Ganz catheters placed in 184 patients with aneurysmal subarachnoid hemorrhage. Evaluation of complications demonstrated a 13% incidence of catheter-related sepsis (81 of 630 catheters), a 2% incidence of congestive heart failure (13 of 630 catheters), a 1.3% incidence of subclavian vein thrombosis (8 of 630 catheters), a 1% incidence of pneumothorax (6 of 630 catheters), and a 0% incidence of pulmonary artery rupture. In the management of patients with aneurysmal subarachnoid hemorrhage, invasive hemodynamic monitoring continues to be an important tool with acceptable complications.

[Indexed for MEDLINE]

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