The Swan—Ganz pulmonary artery catheter

Shaw, T.J.I.

doi:10.1111/j.1365-2044.1979.tb06365.x

Cited by 36 publications

(2 citation statements)

References 22 publications

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“…Recent studies suggested that positioning the patient in the head-up and right lateral position while passing right heart catheters would allow the catheter to easily enter the right ventricular outflow tract and thereby, reduce the incidence of severe arrhythmias[ 28 , 57 ]. Intravenous lidocaine administration before the catheter enters the right ventricle for prophylaxis of ventricular arrhythmias was tested, but its use remains controversial[ 58 - 60 ]. Due to the fact that the majority of catheter-induced ventricular arrhythmias are benign, self-limited, and rarely required medical or cardioversion, prophylactic lidocaine is not recommended during RHC.…”

Section: Discussionmentioning

confidence: 99%

Intra-procedural arrhythmia during cardiac catheterization: A systematic review of literature

Shaik

Slotwiner

Gustafson

et al. 2020

WJC

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BACKGROUND Cardiac catheterization is among the most performed medical procedures in the modern era. There were sporadic reports indicating that cardiac arrhythmias are common during cardiac catheterization, and there are risks of developing serious and potentially life-threatening arrhythmias, such as sustained ventricular tachycardia (VT), ventricular fibrillation (VF) and high-grade conduction disturbances such as complete heart block (CHB), requiring immediate interventions. However, there is lack of systematic overview of these conditions. AIM To systematically review existing literature and gain better understanding of the incidence of cardiac arrhythmias during cardiac catheterization, and their impact on outcomes, as well as potential approaches to minimize this risk. METHODS We applied a combination of terms potentially used in reports describing various cardiac arrhythmias during common cardiac catheterization procedures to systematically search PubMed, EMBASE and Cochrane databases, as well as references of full-length articles. RESULTS During right heart catheterization (RHC), the incidence of atrial arrhythmias (premature atrial complexes, atrial fibrillation and flutter) was low (< 1%); these arrhythmias were usually transient and self-limited. RHC associated with the development of a new RBBB at a rate of 0.1%-0.3% in individuals with normal conduction system but up to 6.3% in individuals with pre-existing left bundle branch block. These patients may require temporary pacing due to transient CHB. Isolated premature ventricular complexes or non-sustained VT are common during RHC (up to 20% of cases). Sustained ventricular arrhythmias (VT and/or VF) requiring either withdrawal of catheter or cardioversion occurred infrequently (1%-1.3%). During left heart catheterizations (LHC), the incidence of ventricular arrhythmias has declined significantly over the last few decades, from 1.1% historically to 0.1% currently. The overall reported rate of VT/VF in diagnostic LHC and coronary angiography is 0.8%. The risk of VT/VF was higher during percutaneous coronary interventions for stable coronary artery disease (1.1%) and even higher for patients with acute myocardial infarctions (4.1%-4.3%). Intravenous adenosine and papaverine bolus for fractional flow reserve measurement, as well as intracoronary imaging using optical coherence tomography have been reported to induce VF. Although uncommon, LHC and coronary angiography were also reported to induce conduction disturbances including CHB. CONCLUSION Cardiac arrhythmias are common and potentially serious complications of cardiac catheterization procedures, and it demands constant vigilance and readiness to intervene during procedures.

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Section: Discussionmentioning

confidence: 99%

Intra-procedural arrhythmia during cardiac catheterization: A systematic review of literature

Shaik

Slotwiner

Gustafson

et al. 2020

WJC

View full text Add to dashboard Cite

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“…In den Jahren nach der klinischen Einführung wurde weltweit über Komplikationen in Zusammenhang mit der Anwendung des SGK berichtet. Diese umfassten: ventrikuläre Extrasystolen, Blockbilder, Kammerflimmern, Knotenbildung im Herzen, Ballonruptur, Thrombusbildung, Lungeninfarkt, Perforation der Pulmonalarterie und Infektion [57]. Zusätzlich wurde deutlich, dass viele Ärzte die gewonnenen Mess-und Rechenergebnisse nicht richtig interpretierten und falsche diagnostische und therapeutische Schlussfolgerungen zogen [58].…”

Section: Infobox 1 Swan-ganz-katheter (Sgk)unclassified

Eine kritische Weihnachtsgeschichte

Lewandowski

Bartlett

2020

Anaesthesist

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ein Kardiologe, war der erste Mensch, der einen Herzkatheter in "Wedge" (dt. Keil)-Position in der A. pulmonalis positionierte [65, 66]. Dies führte zu der Entdeckung, dass der pulmonalkapilläre Verschlussdruck (engl. "pulmonary capillary wedge pressure") mit dem Druck im linken Vorhof und dem linksventrikulären Füllungsdruck gleichzusetzen istvorausgesetzt, es liegt keine Mitralstenose vor. Weiterhin war er an der Entwicklung der Gorlin-Formel beteiligt, einer Formel zur Berechnung der Herzklappenöffnungsflächen [67]. Er erschien aber nicht auf der Autorenliste, da er wünschte, dass der Verdienst Dr. Richard Gorlin, einem seiner Schüler, und dessen Vater, einem Ingenieur, zukamen [68].

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