Monitoreo hemodinámico invasivo por catéter de arteria pulmonar Swan-Ganz: conceptos y utilidad

  • José María Carrasco Rueda Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima, Perú. https://orcid.org/0000-0002-9750-1201
  • Giorgio André Gabino Gonzalez Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima, Perú. https://orcid.org/0000-0003-3732-575X
  • José Luis Sánchez Cachi Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima, Perú. https://orcid.org/0000-0002-0077-5549
  • Roberto Pedro Pariona Canchiz Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima, Perú. https://orcid.org/0000-0001-9809-660X
  • Anghella Fiorela Valdivia Gómez Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima, Perú. https://orcid.org/0000-0003-3244-1698
  • Oscar Nelson Aguirre Zurita Servicio de Cardiología Clínica. Instituto Nacional Cardiovascular INCOR. Lima, Perú. https://orcid.org/0000-0003-3517-0395
Palabras clave: Hipertensión pulmonar, Monitoreo hemodinámico, Choque cardiogénico, Insuficiencia cardiaca

Resumen

Desde sus inicios en el siglo pasado, el cateterismo de arteria pulmonar (CAP) ha ido evolucionando hasta ser una técnica de evaluación hemodinámica invasiva que puede realizarse en la cama del paciente a través de un catéter Swan-Ganz; este procedimiento ha mantenido un curso intermitente en cuanto a su uso; no obstante, actualmente ha demostrado relevancia en escenarios específicos. El CAP permite el acceso a la circulación venosa central, el corazón derecho y la arteria pulmonar; realiza el cálculo de variables hemodinámicas de manera directa o indirecta mediante fórmulas y métodos establecidos. Esto hace posible realizar una evaluación y clasificación hemodinámica adecuada, realizar pruebas específicas (p. ej. prueba de vasorreactividad), que ayudan a definir el diagnóstico, la conducta terapéutica, monitorizar la respuesta al tratamiento, la evaluación previa a terapias avanzadas (p. ej. el trasplante cardiaco o dispositivos de asistencia circulatoria mecánica), y el pronóstico en los pacientes. En este artículo profundizamos sobre los conceptos y la utilidad del cateter de arteria pulmonar.

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Publicado
2021-10-04
Cómo citar
1.
Carrasco Rueda JM, Gabino Gonzalez GA, Sánchez Cachi JL, Pariona Canchiz RP, Valdivia Gómez AF, Aguirre Zurita ON. Monitoreo hemodinámico invasivo por catéter de arteria pulmonar Swan-Ganz: conceptos y utilidad. Arch Peru Cardiol Cir Cardiovasc [Internet]. 4 de octubre de 2021 [citado 7 de diciembre de 2021];2(3):175-86. Disponible en: https://apcyccv.org.pe/index.php/apccc/article/view/152
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