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

José María Carrasco Rueda; Giorgio André Gabino Gonzalez; José Luis Sánchez Cachi; Roberto Pedro Pariona Canchiz; Anghella Fiorela Valdivia Gómez; Oscar Nelson Aguirre Zurita

doi:10.47487/apcyccv.v2i3.152

Authors

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

DOI:

https://doi.org/10.47487/apcyccv.v2i3.152

Keywords:

Hypertension, pulmonary, Hemodynamic monitoring, Cardiogenic shock, Heart failure

Abstract

Since its beginnings in the last century, pulmonary artery catheterization (PAC) has evolved into an invasive hemodynamic evaluation technique that can be performed at the patient’s bedside through a Swan-Ganz catheter; this procedure has maintained an intermittent course in terms of its use; however, it has currently demonstrated relevance in specific scenarios. The PAC allows access to the central venous circulation, the right heart and the pulmonary artery; it performs the calculation of hemodynamic variables directly or indirectly by means of established formulas and methods. This makes possible to perform an adequate hemodynamic evaluation and classification, perform specific tests (e.g. vasoreactivity test), which help to define the diagnosis, therapeutic , monitor the response to treatment, evaluation prior to advanced therapies (e.g. cardiac transplantation or mechanical circulatory assistance devices), and prognosis in our patients. In this article we discuss the concepts and usefulness of pulmonary artery catheterization.

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