Swan-Ganz Catheter

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

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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

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Indications for Use
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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 patients 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

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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 119147-152.
• IN VIVO Analysis Techniques- Surgical
  Operations. ltufrg.br/imunovent/molecular_immunolog
  y/invivo_surgical.htmgt.
• Wikipedia Pulmonary artery catheter.
  lten.wikipedia.org/wiki/Pulmonary_artery_cathetergt.
  
• 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.
  ltnlm.hih.gov/medlineplus/article/003870.htmgt.
• 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. ltmedical-dictionary
  .thefreedictionary.com/Swan-Ganzcathetergt.
• Creagh Brown Haemodynamic monitoring.
  ltcreaghbrown.co.uk/anae/hdmon.htmgt.
• Cardiovasular Ultrasound X-ray Swan-Ganz.
  ltcardiovasicularultrasound.com/content/6/1/50/figu
  re/F2?highresygt.