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Aldo R. Castaneda
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Ann Thorac Surg 1987;43:229-230
© 1987 The Society of Thoracic Surgeons

Articles

Nonoperative Removal of Entrapped Thoracic Intracardiac Monitoring Catheters: A New Bedside Technique

Jeffrey P. Gold, M.D.*, Aldo R. Castaneda, M.D.

From the Department of Cardiac Surgery, Children's Hospital Medical Center, Boston, MA

Accepted for publication June 6, 1986.

* Address reprint requests to Dr. Gold, New York Hospital, Division of Cardiothoracic Surgery, 525 E 68 St, New York, NY 10021

Flexible guidewires introduced into transthoracic intracardiac monitoring catheters can release entrapped areas of acute angulation caused by fascial closure sutures. This technique has been successfully applied to adult and pediatric patients with various sized guidewires and catheters, thus obviating the need for surgical removal of the entrapped monitoring catheters. Because entrapment with subsequent fracture of these monitoring catheters represents the most common complication of their use, lessening of this risk supports their continued widespread implementation.






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