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The standard pulmonary artery catheter has two lumens (Swan-Ganz) and is equipped with an inflatable balloon at the tip, which facilitates its placement into the pulmonary artery through the flow of blood. The balloon, when inflated, causes the catheter to "wedge" in a small pulmonary blood vessel.
William Ganz (January 7, 1919 – November 10, 2009) was a Slovakia-born American cardiologist who co-invented the pulmonary artery catheter, often referred to as the Swan-Ganz catheter, with Jeremy Swan in 1970. [1] The catheter is used to monitor heart conditions, especially in intensive care units.
Diagram of a pulmonary artery catheter in position. The pulmonary wedge pressure (PWP) (also called pulmonary arterial wedge pressure (PAWP), pulmonary capillary wedge pressure (PCWP), pulmonary artery occlusion pressure (PAOP), or cross-sectional pressure) is the pressure measured by wedging a pulmonary artery catheter with an inflated balloon into a small pulmonary arterial branch. [1]
The right heart catheterization (commonly known as Swan-Ganz catheterization) gives the physician the mean pulmonary capillary wedge pressure, which is a reflection of the left atrial pressure. The left heart catheterization, on the other hand, gives the pressure in the left ventricle.
The end diastolic pressure of the right ventricle can measured directly with a Swan-Ganz catheter. For the left ventricle, end diastolic pressure is most commonly estimated by taking the pulmonary wedge pressure, which is approximately equal to the pressure in the left atrium when the lungs are healthy. When the heart is healthy the diastolic ...
He attended medical school at Trinity College Dublin in Dublin but earned his degree from St. Thomas's Hospital, London, England graduating in 1945. Swan was also an intern and junior resident at St. Thomas's Hospital from 1945 to 1946. He then entered the Royal Air Force medical service from 1946 to 1948, being stationed in Iraq. [8]
The other thermodilution method is to sense the temperature change from a liquid injected in the proximal port of a Swan-Ganz to the distal port. Cardiac output is mathematically expressed by the following equation: = where CO = cardiac output (L/sec) SV = stroke volume (ml) HR = heart rate (bpm)
Cardiac catheterization (heart cath) is the insertion of a catheter into a chamber or vessel of the heart.This is done both for diagnostic and interventional purposes. A common example of cardiac catheterization is coronary catheterization that involves catheterization of the coronary arteries for coronary artery disease and myocardial infarctions ("heart attacks").