PMID- 27707512
OWN - NLM
STAT- MEDLINE
DCOM- 20170905
LR  - 20170906
IS  - 1532-8422 (Electronic)
IS  - 1053-0770 (Linking)
VI  - 31
IP  - 1
DP  - 2017 Feb
TI  - Pulmonary Artery Catheter Placement Using Transesophageal Echocardiography.
PG  - 178-183
LID - S1053-0770(16)30276-2 [pii]
LID - 10.1053/j.jvca.2016.07.012 [doi]
AB  - OBJECTIVE: To assess the feasibility of pulmonary artery catheter placement using
      transesophageal echocardiography inclusive of a description of the technique.
      DESIGN: A prospective, proof-of-concept study. SETTING: Single university
      hospital. PARTICIPANTS: Twenty patients with chronic thromboembolic pulmonary
      hypertension scheduled for pulmonary thromboendarterectomy. INTERVENTIONS:
      Pulmonary artery catheters were placed in 20 patients solely by transesophageal
      echocardiographic guidance. MEASUREMENTS AND MAIN RESULTS: Placement of the
      pulmonary artery catheter in the pulmonary artery with transesophageal
      echocardiography guidance in fewer than 10 minutes was considered successful
      placement. The time to placement was measured from advancement of the pulmonary
      artery catheter in the superior vena cava (20 cm) to a final location at the
      junction of the right pulmonary artery and main pulmonary artery. All 20
      pulmonary artery catheters were placed successfully using transesophageal
      echocardiography guidance and the median time to placement was 43 seconds. In 9
      of the 20 patients (45%), the catheter was placed successfully on the first
      attempt without any adjustments. However, in 9 others (45%), the catheter
      required manipulation under transesophageal echocardiography vision. In 3
      patients (15%), the pulmonary artery catheter was observed to be coiled in the
      right atrium and in 1 instance (5%) manipulation of the catheter in the right
      ventricle was required to enter the outflow tract. CONCLUSIONS: Transesophageal
      echocardiography is a viable adjunctive method to conventional pressure waveform 
      placement of pulmonary artery catheters in potentially difficult patients.
CI  - Published by Elsevier Inc.
FAU - Cronin, Brett
AU  - Cronin B
AD  - Sulpizio Cardiovascular Center, University of California San Diego, La Jolla, CA.
      Electronic address: bcronin@ucsd.edu.
FAU - Robbins, Robin
AU  - Robbins R
AD  - Sulpizio Cardiovascular Center, University of California San Diego, La Jolla, CA.
FAU - Maus, Timothy
AU  - Maus T
AD  - Sulpizio Cardiovascular Center, University of California San Diego, La Jolla, CA.
LA  - eng
PT  - Evaluation Studies
PT  - Journal Article
DEP - 20160712
PL  - United States
TA  - J Cardiothorac Vasc Anesth
JT  - Journal of cardiothoracic and vascular anesthesia
JID - 9110208
SB  - IM
CIN - J Cardiothorac Vasc Anesth. 2017 Dec;31(6):e93. PMID: 28366712
MH  - Adult
MH  - Aged
MH  - Catheterization, Swan-Ganz/*methods
MH  - Echocardiography, Transesophageal/*methods
MH  - Endarterectomy/methods
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Hypertension, Pulmonary/surgery
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Pulmonary Artery/*diagnostic imaging
MH  - Pulmonary Embolism/surgery
MH  - Time Factors
MH  - Ultrasonography, Interventional/methods
OTO - NOTNLM
OT  - chronic thromboembolic pulmonary hypertension
OT  - pulmonary artery catheter
OT  - pulmonary thromboendarterectomy
OT  - transesophageal echocardiography
EDAT- 2016/10/07 06:00
MHDA- 2017/09/07 06:00
CRDT- 2016/10/07 06:00
PHST- 2016/06/02 00:00 [received]
PHST- 2016/10/07 06:00 [pubmed]
PHST- 2017/09/07 06:00 [medline]
PHST- 2016/10/07 06:00 [entrez]
AID - S1053-0770(16)30276-2 [pii]
AID - 10.1053/j.jvca.2016.07.012 [doi]
PST - ppublish
SO  - J Cardiothorac Vasc Anesth. 2017 Feb;31(1):178-183. doi:
      10.1053/j.jvca.2016.07.012. Epub 2016 Jul 12.