PMC9902637_01
Preoperative chest radiograph with Perm catheter tip in place (black arrow).
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Preoperative chest radiograph showed an appropriately positioned HemoSplit (BD, USA) catheter, a split-tip form of the Perm catheter, inserted through the right subclavian vein (Fig. 1).
Intraoperative chest radiograph after Swan-Ganz catheter insertion. The mid to distal portion of Perm catheter was positioned in the left brachiocephalic vein, with a flexure in the middle and the tip in superior vena cava (black arrow).
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The mid- to distal portion of the Perm catheter was positioned in the left brachiocephalic vein, with a flexure in the middle and the tip in the superior vena cava (Fig. 2).
Postoperative chest radiograph showing intraoperative manual repositioning of Perm catheter had resulted in looping of the catheter tip (black arrow).
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However, a postoperative chest radiograph revealed that manual repositioning of the Perm catheter was incomplete and the tip remained looped (Fig. 3).
Chest radiograph after successful radiologic procedure to reposition the Perm catheter, showing the tip back in the original place (black arrow).
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An Amplatz guidewire was successfully inserted through each lumen of the looped catheter to carefully straighten the catheter and reposition the tip in the right atrium (Fig. 4).