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Swan Ganz - Pulmonary Artery Catheter Basics

Nick Mark MD @nickmmark

#PA #SwanGanz #Pulmonary #Artery #Catheter #Basics #Diagnosis
Ganz - Pulmonary Artery ... MD @nickmmark #PA ... SwanGanz #Pulmonary #Artery
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... Medicine @ucsdim #PA ... #Pulmonary #Artery
Pulmonary Artery Clot seen on PSAX in Acute Saddle Pulmonary Embolism

Suspicious for PE? You can use
Pulmonary Artery ... attenuated pulm artery ... the pulmonary artery ... clot in right PA ... Pulmonary #Clot #Artery
How to Float a PA (Swan-Ganz) Catheter
1) Place an introducer catheter, usually 15 to 20cm, into
How to Float a PA ... natural curve of the PA ... curves towards the PA ... Float #Pulmonary #Artery
Pulmonary Artery Clot seen on PSAX in Acute Saddle Pulmonary Embolism - Labeled Thrombus in Purple

Suspicious
Pulmonary Artery ... attenuated pulm artery ... the pulmonary artery ... clot in right PA ... short axis of the PA
Severe functional TR (w/o color and CW Doppler) on TTE 2D and 3D
How do we estimate
estimate Pulmonary artery ... PA dilation, short ... PA acceleration ... indeed useless for PA
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Estimates pulmonary artery ... pressure, Pulmonary artery ... 3 Woods units, PA
Right ventricle enlargement
First study the PA and lateral chest film and then continue reading.
On these chest
First study the PA ... lower pulmonary artery
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Chest CT • Main PA ... crossover sign - Right PA
Which conditions are associated with which area of abdomen?

Image source: OConnell TX. USMLE Step 2 Secrets:
Philadelphia, PA