Chest radiography in the ICU: Part 2, Evaluation of cardiovascular lines and other devices.
OBJECTIVE: In this pictorial essay, we discuss and illustrate normal and aberrant positioning of the cardiovascular support and monitoring
devices frequently used in critically ill patients, including central venous catheters, pulmonary artery catheters, left atrial
catheters, transvenous pacemakers, automatic implantable cardioverter defibrillators, intraaortic counterpulsation balloon
pump, and ventricular assist devices, as well as their inherent complications.
CONCLUSION: The radiographic evaluation of the support and monitoring devices used in patients in the ICU is important, because the potentially serious complications arising from their introduction and use are often not clinically apparent. Familiarity with normal and abnormal radiographic findings is critical for the detection of these complications.
Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Unit 371, Houston, TX 77030, USA. MGodoy@mdanderson.org
SourceAJR. American journal of roentgenology 198:3 2012 Mar pg 572-81
MeSHCatheterization, Central Venous
Intensive Care Units
Intra-Aortic Balloon Pumping
Pub Type(s)Journal Article