Cardiothoracic & vascular anesthesia
Entrapment of Pulmonary Artery Catheters in Cardiac Surgery: A Structured Literature Review and Analysis of Published Case Reports
Authors' conclusion
Although PAC entrapment during cardiac surgery is rare, an entrapped PAC increases patient morbidity, delays recovery, and increases hospital length of stay.
Study context
- Population
- Adults undergoing cardiac surgery with pulmonary artery catheter (PAC) entrapment (case reports and series)77 case reports
- Participants
- 223 adults · 3 retrospective studies
- Outcome
- Reported incidence of entrapped PAC
Pooled result
As reported in the abstract
Reported incidence of entrapped PAC
137 of 200,831
0.068%, 95% CI: 0.067%, 0.069%
Not discovered until postoperative period
77%
Required immediate redo sternotomy for PAC retrieval
75%
Further pooled results
Hospital LOS after PAC retrieval
- Longer hospital LOS vs Society of Thoracic Surgeons Adult Cardiac Surgery Database averages
Original publication
Entrapment of Pulmonary Artery Catheters in Cardiac Surgery: A Structured Literature Review and Analysis of Published Case Reports. J Cardiothorac Vasc Anesth. Published 3 January 2025. doi:10.
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