Key result
Routine PAC use occurs in ~72% of Japanese cardiac surgery centers alongside rare serious complications.
Why the study?
Prompted by a fatal cardiac injury from a pulmonary artery catheter (PAC) in Japan, the study aimed to assess the current status of PAC use and related complications.
What is the current status of pulmonary artery catheter use and its complications during cardiac surgery in Japan?
Cross-Sectional (n=325)
Yes
What is the current status of pulmonary artery catheter use and its complications during cardiac surgery in Japan?
Despite severe complications like suturing and pulmonary artery injury, PACs remain routinely used in most cardiac surgeries in Japan, indicating a need for strict usage guidelines.
Routine PAC use persists in most Japanese cardiac surgeries with rare major complications; leaves open optimal indications pending prospective trials.
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Matsumiya et al. (2021) conducted a cross-sectional in Cardiac surgery (n=325). Pulmonary artery catheter (PAC) was evaluated on Incidence of PAC entrapment and pulmonary artery rupture. In Japan, 72% of cardiac surgery centers routinely use pulmonary artery catheters in over 90% of cases, with serious complications such as catheter entrapment and pulmonary artery rupture occurring at estimated incidences of 0.07% and 0.05%, respectively.
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