Pulmonary artery catheter
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- updated 6 Apr 2022:
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Pulmonary artery catheters (or Swan-Ganz catheters) are balloon flotation catheters that can be inserted simply, quickly, with little training and without fluoroscopic guidance, at the bedside, even in the seriously ill patient. Historically they were widely used to measure right heart haemodynamic indices and pulmonary arterial and capillary wedge pressures. More recently their use has fallen out of favour1, due to adverse trial data, 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 12 by William Ganz (1919 - 2009) 23 and HJC (Harold James Charles) "Jeremy" Swan (1922-2005) 34, both cardiologists at Cedars-Sinai Hospital, Los Angeles.
-<p><strong>Pulmonary artery catheters</strong> (or <strong>Swan-Ganz catheters</strong>) are balloon flotation catheters that can be inserted simply, quickly, with little training and without fluoroscopic guidance, at the bedside, even in the seriously ill patient. Historically they were widely used to measure right heart haemodynamic indices and pulmonary arterial and capillary wedge pressures. More recently their use has fallen out of favour, due to adverse trial data, however, they still have important niche uses.</p><p>These catheters should ideally be positioned in the proximal right or left main <a href="/articles/pulmonary-trunk">pulmonary artery</a>. </p><h4>History and etymology</h4><p>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 <sup>1</sup> by <strong>William Ganz</strong> (1919 - 2009) <sup>2</sup> and <strong>HJC </strong>(<strong>Harold James Charles) "Jeremy" Swan </strong>(1922-2005) <sup>3</sup>, both cardiologists at Cedars-Sinai Hospital, Los Angeles.</p>- +<p><strong>Pulmonary artery catheters</strong> (or <strong>Swan-Ganz catheters</strong>) are balloon flotation catheters that can be inserted simply, quickly, with little training and without fluoroscopic guidance, at the bedside, even in the seriously ill patient. Historically they were widely used to measure right heart haemodynamic indices and pulmonary arterial and capillary wedge pressures. More recently their use has fallen out of favour <sup>1</sup>, due to adverse trial data, however, they still have important niche uses.</p><p>These catheters should ideally be positioned in the proximal right or left main <a href="/articles/pulmonary-trunk">pulmonary artery</a>. </p><h4>History and etymology</h4><p>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 <sup>2</sup> by <strong>William Ganz</strong> (1919 - 2009) <sup>3</sup> and <strong>HJC </strong>(<strong>Harold James Charles) "Jeremy" Swan </strong>(1922-2005) <sup><span style="font-size:10.8333px">4</span></sup>, both cardiologists at Cedars-Sinai Hospital, Los Angeles.</p>
References changed:
- 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. <a href="https://doi.org/10.5152/eurjther.2019.18020">doi:10.5152/eurjther.2019.18020</a>
- 2. Chatterjee K. The Swan-Ganz catheters: past, present, and future. A viewpoint. Circulation. 119 (1): 147-52. <a href="https://doi.org/10.1161/CIRCULATIONAHA.108.811141">doi:10.1161/CIRCULATIONAHA.108.811141</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19124674">Pubmed</a> <span class="ref_v4"></span>
- 3. http://www.latimes.com/nation/la-me-william-ganz13-2009nov13-story.html
- 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].
- 1. Chatterjee K. The Swan-Ganz catheters: past, present, and future. A viewpoint. Circulation. 119 (1): 147-52. <a href="https://doi.org/10.1161/CIRCULATIONAHA.108.811141">doi:10.1161/CIRCULATIONAHA.108.811141</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19124674">Pubmed</a> <span class="ref_v4"></span>
- 2. http://www.latimes.com/nation/la-me-william-ganz13-2009nov13-story.html
- 3. 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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