Recognition and management of catheter-induced XXXX .

@entity1 @entity548 @entity519 @entity358 @entity20449 @entity130
BACKGROUND: Catheter-induced @entity358 is a well-recognized complication of invasive monitoring, but the risk has not diminished. Although commonly associated with cardiopulmonary bypass, @entity130 also occur in intensive care. Definitive proof requires pulmonary angiography or autopsy. Many cases are never reported, and @entity130 are probably under-diagnosed. METHODS: Seven cases fulfilling accepted diagnostic criteria discovered over 2 years are described in four groups illustrating the common modes of presentation: hemoptysis with @entity519 , @entity20449 , delayed recurrent @entity548 , and @entity548 with cardiopulmonary bypass. RESULTS: One @entity1 had a planned elective operation deferred. Four @entity1 were being monitored in intensive care. Two of them died of @entity358 . Two other @entity1 had @entity548 on weaning from cardiopulmonary bypass. One settled with conservative treatment, the other survived after extracorporeal life support. Recognition and management are discussed, emphasizing means of avoiding pulmonary resection. CONCLUSIONS: Catheter-induced @entity358 is unavoidable. Constant awareness is essential. A plan of management is presented. Extracorporeal life support may help to avoid pulmonary resection. Early pulmonary angiography is advocated for accurate diagnosis and to enable treatment by embolization.
