Abstract
The pulmonary artery catheter (PAC) has lost its popularity during the last years giving way to supposedly less invasive hemodynamic monitoring devices such as transpulmonary thermodilution techniques, pulse contour analysis, and echocardiography. Nevertheless, it is still the gold standard for cardiac output measurements via pulmonary artery thermodilution (PATD). Furthermore, a PAC is the only device offering the possibility to assess and monitor pulmonary artery pressure and right ventricular function continuously. PATD is valuable in situations where a comprehensive view of the hemodynamic situation is needed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970;283:447–51.
Ventetuolo CE, Klinger JR. Management of acute right ventricular failure in the intensive care unit. Ann Am Thorac Soc. 2014;11:811–22.
Branthwaite MA, Bradley RD. Measurement of cardiac output by thermal dilution in man. J Appl Physiol. 1968;24:434–8.
Weir-McCall JR, Struthers AD, Lipworth BJ, Houston JG. The role of pulmonary arterial stiffness in COPD. Respir Med. 2015;109:1381–90.
Galiè N, Humbert M, Vachiery J-L, Gibbs S, Lang I, Torbicki A, Simonneau G, Peacock A, Vonk Noordegraaf A, Beghetti M, Ghofrani A, Gomez Sanchez MA, Hansmann G, Klepetko W, Lancellotti P, Matucci M, McDonagh T, Pierard LA, Trindade PT, Zompatori M, Hoeper M. 2015 ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: the joint task force for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur Heart J. 2016;37:67–119.
Mehra MR, Canter CE, Hannan MM, Semigran MJ, Uber PA, Baran DA, Danziger-Isakov L, Kirklin JK, Kirk R, Kushwaha SS, Lund LH, Potena L, Ross HJ, Taylor DO, Verschuuren EAM, Zuckermann A. The 2016 International Society for Heart Lung Transplantation listing criteria for heart transplantation: a 10-year update. J Heart Lung Transpl. 2016;35:1–23.
Lankhaar J-W, Westerhof N, Faes TJC, Marques KMJ, Marcus JT, Postmus PE, Vonk-Noordegraaf A. Quantification of right ventricular afterload in patients with and without pulmonary hypertension. Am J Physiol Heart Circ Physiol. 2006;291:H1731–7.
Choi J-O, Lee S-C, Choi SH, Kim SM, Choi JH, Park JR, Song BG, Chang S-A, Park S-J, Park SW, Park PW. Noninvasive assessment of left ventricular stroke work index in patients with severe mitral regurgitation: correlation with invasive measurement and exercise capacity. Echocardiography (Mount Kisco, N.Y.). 2010;27:1161–9.
Kashiyama N, Toda K, Miyagawa S, Yoshikawa Y, Hata H, Yoshioka D, Sawa Y. Left ventricular stroke work index associated with outcome after mitral valve surgery for functional regurgitation in nonischemic dilated cardiomyopathy. Semin Thorac Cardiovasc Surg. 2020;32(4):698–709.
Kanjanahattakij N, Sirinvaravong N, Aguilar F, Agrawal A, Krishnamoorthy P, Gupta S. High right ventricular stroke work index is associated with worse kidney function in patients with heart failure with preserved ejection fraction. Cardior Med. 2018;8:123–9.
Fukamachi K, McCarthy PM, Smedira NG, Vargo RL, Starling RC, Young JB. Preoperative risk factors for right ventricular failure after implantable left ventricular assist device insertion. Ann Thorac Surg. 1999;68:2181–4.
Vonk-Noordegraaf A, Haddad F, Chin KM, Forfia PR, Kawut SM, Lumens J, Naeije R, Newman J, Oudiz RJ, Provencher S, Torbicki A, Voelkel NF, Hassoun PM. Right heart adaptation to pulmonary arterial hypertension: physiology and pathobiology. J Am Coll Cardiol. 2013;62:D22–33.
Robitaille A, Denault AY, Couture P, Belisle S, Fortier A, Guertin M-C, Carrier M, Martineau R. Importance of relative pulmonary hypertension in cardiac surgery: the mean systemic-to-pulmonary artery pressure ratio. J Cardiothorac Vasc Anesth. 2006;20:331–9.
Saydain G, Awan A, Manickam P, Kleinow P, Badr S. Pulmonary hypertension an Independent risk factor for death in intensive care unit: correlation of hemodynamic factors with mortality. Clin Med Insights Circ Respir Pulm Med. 2015;9:27–33.
Dupont M, Mullens W, Skouri HN, Abrahams Z, Wu Y, Taylor DO, Starling RC, Tang WHW. Prognostic role of pulmonary arterial capacitance in advanced heart failure. Circ Heart Fail. 2012;5:778–85.
Al-Naamani N, Preston IR, Hill NS, Roberts KE. The prognostic significance of pulmonary arterial capacitance in pulmonary arterial hypertension: single-center experience. Pulm Circ. 2016;6:608–10.
Mahapatra S, Nishimura RA, Sorajja P, Cha S, McGoon MD. Relationship of pulmonary arterial capacitance and mortality in idiopathic pulmonary arterial hypertension. J Am Coll Cardiol. 2006;47:799–803.
Kane PB, Askanazi J, Neville JF, Mon RL, Hanson EL, Webb WR. Artifacts in the measurement of pulmonary artery wedge pressure. Crit Care Med. 1978;6:36–8.
Nadeau S, Noble WH. Misinterpretation of pressure measurements from the pulmonary artery catheter. Can Anaesth Soc J. 1986;33:352–63.
Synder JV, Powner DJ. Effects of mechanical ventilation on the measurement of cardiac output by thermodilution. Crit Care Med. 1982;10:677–82.
Woods M, Scott RN, Harken AH. Practical considerations for the use of a pulmonary artery thermistor catheter. Surgery. 1976;79:469–75.
Stevens JH, Raffin TA, Mihm FG, Rosenthal MH, Stetz CW. Thermodilution cardiac output measurement. Effects of the respiratory cycle on its reproducibility. JAMA. 1985;253:2240–2.
Rajaram SS, Desai NK, Kalra A, Gajera M, Cavanaugh SK, Brampton W, Young D, Harvey S, Rowan K. Pulmonary artery catheters for adult patients in intensive care. Cochrane Database Syst Rev. 2013:CD003408.
Connors AF, Speroff T, Dawson NV, Thomas C, Harrell FE, Wagner D, Desbiens N, Goldman L, Wu AW, Califf RM, Fulkerson WJ, Vidaillet H, Broste S, Bellamy P, Lynn J, Knaus WA. The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT investigators. JAMA. 1996;276:889–97.
Singh K, Mayo P. Critical care echocardiography and outcomes in the critically ill. Curr Opin Crit Care. 2018;24(4):316–21.
Squara P, Bennett D, Perret C. Pulmonary artery catheter: does the problem lie in the users? Chest. 2002;121:2009–15.
Poli de Figueiredo LF, Malbouisson LM, Varicoda EY, Carmona MJ, Auler JO, Rocha e Silva M. Thermal filament continuous thermodilution cardiac output delayed response limits its value during acute hemodynamic instability. J Trauma. 1999;47:288–93.
Reuter DA, Huang C, Edrich T, Shernan SK, Eltzschig HK. Cardiac output monitoring using indicator-dilution techniques: basics, limits, and perspectives. Anesth Analg. 2010;110:799–811.
Tewelde SZ, Liu SS, Winters ME. Cardiogenic shock. Cardiol Clin. 2018;36:53–61.
Saugel B, Vincent J-L. Cardiac output monitoring: how to choose the optimal method for the individual patient. Curr Opin Crit Care. 2018;24:165–72.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Zitzmann, A., Reuter, D.A., Löser, B. (2021). Pulmonary Artery Thermodilution. In: Kirov, M.Y., Kuzkov, V.V., Saugel, B. (eds) Advanced Hemodynamic Monitoring: Basics and New Horizons. Springer, Cham. https://doi.org/10.1007/978-3-030-71752-0_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-71752-0_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-71751-3
Online ISBN: 978-3-030-71752-0
eBook Packages: MedicineMedicine (R0)