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Swan-Ganz Catheter

Swan-Ganz Catheter. Caitlyn King BME 281 October 10, 2012. Overview. Swan-Ganz Catheter- Balloon flotation Pulmonary Artery catheter Use for monitoring critically i ll patients (mostly in the ICU) Catheterization only possible on the right side of the heart

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Swan-Ganz Catheter

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  1. Swan-Ganz Catheter Caitlyn King BME 281 October 10, 2012

  2. Overview • Swan-Ganz Catheter- Balloon flotation Pulmonary Artery catheter • Use for monitoring critically ill patients (mostly in the ICU) • Catheterization only possible on the right side of the heart • Catheter is hooked up to a Cardiac Output computer

  3. History • 1929- Dr. Warner Forssman proven that right heart catheterization is possible in humans • 1964- Dr. Bradley introduced small diagnostic catheter • 1970- Balloon Flotation Catheter by Doctor H.J.C Swan and William Ganz

  4. Usage • Detection of Heart Failure and Septic Shock • Measures indirect left ventricular pressure • Measure Cardiac Output by thermodilution for: Right Atrial and Right Ventricular pacing and right-sided pressures

  5. Indications for Use

  6. Heart Failure Sensor • Wireless Radiofrequency; no direct connection to Cardiac Output Computer • Reduced hospitalization among heart failure patients • Longer duration of use • No batteries required • No wearable parts

  7. Advantages • Ability to monitor patient’s blood flow through the heart when critically ill • Detect of the effectiveness of certain medications, Heart Failure, and Shock

  8. Disadvantages • Over usage of the balloon • If fluid bag is not under pressure, patient can bleed to death • Ventricular tachycardia can occur if catheter slides back into the Right Ventricle • Short duration of use

  9. Future • Stricter regulations for procedures/requirements • Alternative technology to Swan-Ganz Catheter • Further research on Pulmonary Artery catheterization

  10. References • Palmieri, T. “The Inventors of the Swan-Ganz Catheter: H.J.C Swan and William Ganz”. Current Surgery. 2003; 60(3): 351-2. • Chatterjee, Kanu. “The Swan-Ganz Catheter: Past, Present, and Future: A viewpoint”. Circulation. 2009; 119:147-152. • IN VIVO: Analysis Techniques- Surgical Operations. <ufrg.br/imunovent/molecular_immunology/invivo_surgical.htm>. • Wikipedia: Pulmonary artery catheter. <en.wikipedia.org/wiki/Pulmonary_artery_catheter>. • Verdejo H, et al. “Comparsion of a Radiofrequency-Based Wireless Pressure Sensor to Swan-Ganz Catheter and Echocardiograpy for Ambulatory Assessment of Pulmonary Artery Pressure in Heart Failure”. Journal of American College of Cardiology. 2007; 50(25): 2375-82. • Cuasay, R., Lemole, G. “Rupture of Pulmonary Artery by Swan-Ganz Catheter: A Cause of Postoperative Bleeding after Open-Heart Operation”. The Annals of Thoracic Surgery. 1981; 32: 415-417. • Medline: Swan-Ganz- right heart catheterization. <nlm.hih.gov/medlineplus/article/003870.htm>. • Bhattacharya, J., Shaikh, A., Vytlacil, E. “Treatment effect bounds: An application to Swan-Ganz catheterization”. Journal of Econometrics. 2012; 168: 223-243. • The Free Dictionary: Catheter. <medical-dictionary.thefreedictionary.com/Swan-Ganz+catheter>. • Creagh Brown: Haemodynamic monitoring. <creaghbrown.co.uk/anae/hdmon.htm>. • Cardiovasular Ultrasound: X-ray Swan-Ganz. <cardiovasicularultrasound.com/content/6/1/50/figure/F2?highres=y>.

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