Pulmonary artery catheter
Citation, DOI, disclosures and article data
Citation:
Bell D, Yap J, Campos A, et al. Pulmonary artery catheter. Reference article, Radiopaedia.org (Accessed on 05 Dec 2024) https://doi.org/10.53347/rID-56188
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rID:
56188
Article created:
Disclosures:
At the time the article was created Daniel J Bell had no recorded disclosures.
View Daniel J Bell's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Joshua Yap had no financial relationships to ineligible companies to disclose.
View Joshua Yap's current disclosures
Revisions:
17 times, by
9 contributors -
see full revision history and disclosures
Sections:
Synonyms:
- Swan-Ganz catheters
- Swan-Ganz catheter
- Swan Ganz catheters
- Swan Ganz catheter
- Pulmonary artery catheters
- PAC
Pulmonary artery catheters (PAC or Swan-Ganz catheters) are balloon flotation catheters that are inserted into the pulmonary arteries. They can be inserted simply, quickly, with little training and without fluoroscopic guidance at the bedside, even in the seriously ill patient.
Usage
Historically, pulmonary artery catheters were widely used to measure right heart hemodynamic indices and pulmonary arterial and capillary wedge pressures. Their use has since fallen out of favor due to adverse trial data 1. However, they still have important niche uses.
These catheters should ideally be positioned in the proximal right or left main pulmonary artery.
History and etymology
The first balloon flotation flow-directed catheter that did not require image-guidance for insertion and therefore could be inserted at the bedside was introduced in 1970 2 by William Ganz (1919-2009) 3 and Harold James Charles "Jeremy" Swan (1922-2005) 4, both cardiologists at Cedars-Sinai Hospital, Los Angeles.
References
- 1. Elay G, Clinic of Intensive Care, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Turkey, Coskun R et al. Comparison of Pulmonary Artery Catheter and Central Venous Catheter for Early Goal Directed Targeted Therapy in Sepsis and Septic Shock. Eur J Ther. 2019;25(4):253-8. doi:10.5152/eurjther.2019.18020
- 2. Chatterjee K. The Swan-Ganz Catheters: Past, Present, and Future. A Viewpoint. Circulation. 2009;119(1):147-52. doi:10.1161/CIRCULATIONAHA.108.811141 - Pubmed
- 3. Dr. William Ganz Dies at 90; Cardiologist Co-Invented Flexible Balloon Catheter. Los Angeles Times.
- 4. Bayliss M, Andrade J, Heydari B, Ignaszewski A. Jeremy Swan and the pulmonary artery catheter: Paving the way for effective hemodynamic monitoring. BCMJ, Vol. 51, No. 7, September, 2009, page(s) 302-307. http://www.bcmj.org/article/jeremy-swan-and-pulmonary-artery-catheter-paving-way-effective-hemodynamic-monitoring [accessed online on 16.10.2017].
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