Swan-Ganz catheterization

Swan-Ganz catheterization

Interventional cardiology Insertion of a SG catheter into the pulmonary artery for hemodynamic monitoring of a critically ill Pt Indications Acute MI with hemodynamic instability, ARDS, suspected cardiac tamponade, CHF that responds poorly to diuretics, rupture of papillary muscle of mitral valves, severe hypotension, septic shock, monitoring of hemodynamics during cardiovascular surgery–eg, CABG Contraindications Severe coagulopathy, left BBB, hypothermia, inadequate monitoring equipment Complications Thrombosis, PE, infection, infarction, arrhythmias, perforation of pulmonary artery, hemothorax, pneumothorax, heart valve trauma. See Swan-Ganz catheter. Cf Left heart catheterization.