HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Gold, J. P. Articles by Castaneda, A. R. Search for Related Content PubMed PubMed Citation Articles by Gold, J. P. Articles by Castaneda, A. R.

The Annals of Thoracic Surgery, Vol 42, 185-191, Copyright © 1986 by The Society of Thoracic Surgeons

ARTICLES

Transthoracic intracardiac monitoring lines in pediatric surgical patients: a ten-year experience

JP Gold, RA Jonas, P Lang, EM Elixson, JE Mayer and AR Castaneda

A study of 6,690 transthoracic intracardiac monitoring (TIM) catheters in 5,666 pediatric patients undergoing cardiac surgical procedures during a 10-year period demonstrates the safety of this monitoring method. The utility of TIM catheters in patients undergoing a modified Fontan procedure, those undergoing repair of tetralogy of Fallot, and those with elevated or labile pulmonary resistance is stressed. Right atrial (RA) and left atrial (LA) catheters are particularly safe; they have a low incidence of bleeding complications (RA = 0%, LA = 0.13%) and retention complications (RA = 0.15%, LA = 0.63%). Pulmonary artery (PA) catheters that are introduced through the right ventricular infundibulum have higher complication rates (1.07%); unpredictable hemodynamic compromise occurs in approximately 0.5% of such patients. PA catheters placed through the wall of the atrium have a lower complication rate-approximately equal to that for RA and LA catheters. The benefits of TIM catheters far outweight the associated risks if care is exercised in placing and removing them, and if complications are rapidly recognized and aggressively managed. The continued use of TIM catheters in pediatric cardiac surgical patients is therefore strongly recommended.

This article has been cited by other articles:

				P. A. Abbruzzese, S. Longo, E. Aidala, and A. Valori Securing atrial lines with Silastic ligatures Interactive CardioVascular and Thoracic Surgery, September 1, 2003; 2(3): 293 - 294. [Abstract] [Full Text] [PDF]

				R. A. Jonas COMMENTARY J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 957 - 957. [Full Text] [PDF]

				F. Santini, G. Gatti, V. Borghetti, G. Oppido, and A. Mazzucco Routine left atrial catheterization for the post-operative management of cardiac surgical patients: is the risk justified? Eur. J. Cardiothorac. Surg., August 1, 1999; 16(2): 218 - 221. [Abstract] [Full Text] [PDF]

				K. Muralidhar and D. P. Shetty Technique to Monitor Pulmonary Artery Pressure After Pediatric Cardiac Surgery Asian Cardiovasc Thorac Ann, December 1, 1998; 6(4): 295 - 299. [Abstract] [Full Text] [PDF]