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- R H Rosenwasser, J I Jallo, C C Getch, and K E Liebman.
- Department of Neurological Surgery, Wills Neurosensory Institute, Thomas Jefferson University Hospital, Pennsylvania Hospital, Philadelphia, USA.
- Neurosurgery. 1995 Nov 1; 37 (5): 872-5; discussion 875-6.
AbstractInvasive hemodynamic monitoring has become standard in the management of aneurysmal subarachnoid hemorrhage. This study is a retrospective analysis of 630 Swan-Ganz catheters placed in 184 patients with aneurysmal subarachnoid hemorrhage. Evaluation of complications demonstrated a 13% incidence of catheter-related sepsis (81 of 630 catheters), a 2% incidence of congestive heart failure (13 of 630 catheters), a 1.3% incidence of subclavian vein thrombosis (8 of 630 catheters), a 1% incidence of pneumothorax (6 of 630 catheters), and a 0% incidence of pulmonary artery rupture. In the management of patients with aneurysmal subarachnoid hemorrhage, invasive hemodynamic monitoring continues to be an important tool with acceptable complications.
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