Right Heart Catheterization-Related Complications: A Review of the Literature and Best Practices. [Review]

MedStar author(s):
Citation: Cardiology in Review. 28(1):36-41, 2020 Jan/Feb.PMID: 31804291Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cardiac Catheterization/ae [Adverse Effects] | *Postoperative Complications/ep [Epidemiology] | *Practice Guidelines as Topic | Female | Humans | Male | RiskYear: 2020Local holdings: Available online from MWHC library: 2001 - presentISSN:
  • 1061-5377
Name of journal: Cardiology in reviewAbstract: Right heart catheterization (RHC) is considered to be the gold standard for the measurement of pulmonary artery pressure and has a class 1 indication to confirm the diagnosis of pulmonary arterial hypertension and to guide treatment decisions. Associated complications with RHC in contemporary practice are uncommon. In this review, we aim to summarize the complications that have been published in case reports or case series with updated management and techniques to prevent and mitigate complications. We searched the PubMed database for the following reports: "right heart catheterization," "Swan-Ganz catheter," "pulmonary artery catheter," "balloon-tip catheter," and "complication" or "adverse event." Complications reported in 46 manuscripts were included in the final analysis. After evaluation of all reports, complications were grouped categorically. We found that the most commonly reported access site-related issues were either carotid artery injury or arteriovenous fistula formation, and injury to the tricuspid valve was the most commonly reported catheter-related complication. Our findings suggest that infrequent complications can occur with RHC and can be fatal. The optimal technique should be used to minimize complications. Operators should always be cautious during the procedure and monitor the patient closely.All authors: Ben-Dor I, Bernardo NL, Chen Y, Khalid N, Shlofmitz E, Waksman R, Weintraub WSOriginally published: Cardiology in Review. 28(1):36-41, 2020 Jan/Feb.Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2020-01-03
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 31804291 Available 31804291

Available online from MWHC library: 2001 - present

Right heart catheterization (RHC) is considered to be the gold standard for the measurement of pulmonary artery pressure and has a class 1 indication to confirm the diagnosis of pulmonary arterial hypertension and to guide treatment decisions. Associated complications with RHC in contemporary practice are uncommon. In this review, we aim to summarize the complications that have been published in case reports or case series with updated management and techniques to prevent and mitigate complications. We searched the PubMed database for the following reports: "right heart catheterization," "Swan-Ganz catheter," "pulmonary artery catheter," "balloon-tip catheter," and "complication" or "adverse event." Complications reported in 46 manuscripts were included in the final analysis. After evaluation of all reports, complications were grouped categorically. We found that the most commonly reported access site-related issues were either carotid artery injury or arteriovenous fistula formation, and injury to the tricuspid valve was the most commonly reported catheter-related complication. Our findings suggest that infrequent complications can occur with RHC and can be fatal. The optimal technique should be used to minimize complications. Operators should always be cautious during the procedure and monitor the patient closely.

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