LeVarge Barbara L, Law Anica C, Murphy Blanche
1 6797 Pulmonary Diseases and Critical Care Medicine, University of North Carolina , Chapel Hill, NC, USA.
2 Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Pulm Circ. 2018 Jan-Mar;8(1):2045893217748054. doi: 10.1177/2045893217748054.
Infection, thrombosis, and catheter dislodgment are well-recognized potential complications of chronic intravenous prostanoid therapy for pulmonary arterial hypertension. As long-term outcomes of pulmonary hypertension patients improve, novel adverse events are likely to arise. We describe the sudden development of unexplained hypotension and lightheadedness in a patient receiving intravenous epoprostenol for several years, ultimately determined to be due to an unusual catheter complication, not previously described in this population.
感染、血栓形成和导管移位是公认的慢性静脉注射前列环素治疗肺动脉高压的潜在并发症。随着肺动脉高压患者长期预后的改善，可能会出现新的不良事件。我们描述了一名接受静脉注射依前列醇数年的患者突然出现原因不明的低血压和头晕，最终确定是由于一种不寻常的导管并发症所致，该并发症在该人群中此前未曾有过描述。
