Abstract
A knot occurred in a flow-directed balloon tipped (Swan-Ganz) catheter inserted through
the right internal jugulary vein. Knot was undone using right Judkins catheter introduced
via left jugulary vein approach. By passing through the loop of knot, right Judkins
catheter was used to stabilize the knotted segment and knot was unknotted by gently
pulling the Swan-Ganz Catheter.