Evidence map›Paper›PMID 40780786›Full record

ArticleJACC. Case reports2025

What Is the Easiest Way to Remove a Knotted Swan-Ganz Catheter?

Daniel Goubran, Sean Dickie, Charles Yeggapan, Robert Bigsby, Kenza Rahmouni, Vincent Chan

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel GoubranDivision of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Sean DickieDivision of Cardiac Anesthesia, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Charles YeggapanDivision of Cardiac Anesthesia, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Robert BigsbyDivision of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Kenza RahmouniDivision of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Vincent ChanDivision of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address: vchan@ottawaheart.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSwan-Ganz catheters are routinely used for monitoring of critically ill patients. These catheters can become knotted during the process of insertion, which can pose a challenge for removal. CASE SUMMARY: A 63-year-old man underwent placement of a Swan-Ganz catheter, which was knotted and could not be removed. Ultimately, removal was achieved by tightening the knot in the Swan-Ganz catheter against the inlet of its sheath. The catheter and sheath were then pulled together out of the skin in a single motion. DISCUSSION: Multiple methods have been described to remove such knotted catheters although no consensus exists. TAKE-HOME MESSAGE: A knotted Swan-Ganz catheter can be safely removed by tightening the knot against the inlet of its sheath to reduce the knot size and then simply pulling the catheter and sheath together out of the skin.

Indexed as

complicationimagingx-ray fluoroscopy

Identifiers

PMID40780786
PMCPMC12426549

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.