Ceyran H, Akçalý Y, Asgun F, Tezcaner T, Tasdemir K, Emirogullarý O N, Ersepciler M
Departments of Cardiovascular Surgery and Anesthesiology, Erciyes University Medical Faculty, Kayseri, Turkey.
Acta Anaesthesiol Scand. 2003 Apr;47(4):430-2. doi: 10.1034/j.1399-6576.2003.00095.x.
Left atrial pressure (LAP) monitoring provides a useful option for management of hemodynamic status in pediatric open-heart surgical patients during the postoperative period.
We used a triple-lumen catheter placed into the left atrium transseptally to measure left atrial pressure. Twenty children that were operated on in our clinic are included in this study: 11 males and nine females. A 5-Fr. triple-lumen radio-opaque polyethylene catheter was used for the procedure. After the repair of the primary cardiac defect, the distal end of the catheter was repositioned transseptally and advanced into the left atrium. The proximal and middle line's distal orifices were left in the right atrium. Distal line was used as a left atrial pressure line, the middle line as a central venous pressure line, and the proximal line as a route for fluid infusion or drug administration.
No mortality and no catheter-related complication were observed. No failure or complication occurred during withdrawal of the catheter.
We conclude that this preliminary technique can be a useful and easy way of monitoring LAP, as well as providing central venous access.
左心房压力（LAP）监测为小儿心脏直视手术患者术后血流动力学状态的管理提供了一种有用的选择。
我们经房间隔置入一根三腔导管来测量左心房压力。本研究纳入了在我们诊所接受手术的20名儿童：11名男性和9名女性。该操作使用了一根5F不透X线的三腔聚乙烯导管。在修复原发性心脏缺陷后，将导管远端经房间隔重新定位并推进至左心房。近端和中间线路的远端开口留在右心房。远端线路用作左心房压力监测线路，中间线路用作中心静脉压力监测线路，近端线路用作输液或给药途径。
未观察到死亡病例及与导管相关的并发症。拔管过程中未出现失败或并发症。
我们得出结论，这种初步技术可以成为监测LAP以及提供中心静脉通路的一种有用且简便的方法。
