Swan-Ganz catheters | Edwards Lifesciences

Swan-Ganz catheter

Continuous view of cardiac function in your most complex patients

The first flow-directed Swan-Ganz pulmonary artery catheter revolutionized hemodynamic monitoring in critically ill patients.¹ By providing a comprehensive hemodynamic profile, utilizing continuous data, Swan-Ganz pulmonary artery catheters track your patient’s hemodynamic status to assist your early evaluation.

Swan-Ganz advanced technology pulmonary artery catheters enable continuous assessment of flow, pressure, and oxygen delivery and consumption, so you have an uninterrupted view of cardiac function for proactive decisions support in your most complex patients.

Target complex patient conditions with advanced hemodynamic parameters

Swan-Ganz catheter allows continuous monitoring of the balance of oxygen delivery and consumption with these advanced hemodynamic parameters:

Mixed venous oxygen saturation (SvO₂)
Cardiac output (CO)
Stroke volume (SV)
Systemic vascular resistance (SVR)

Right ventricular ejection fraction (RVEF)
Right ventricular end diastolic volume (RVEDV)
Pulmonary artery pressure (PAP)
Pulmonary artery occlusion pressure (PAOP)^*

SvO₂ mixed venous oxygen saturation

Swan-Ganz pulmonary artery catheters provide continuous monitoring of SvO₂. Since SvO₂ is a sensitive indicator of the patient’s status and generally precedes other indications of cardiopulmonary instability, continuous SvO₂ monitoring may allow diagnostic and therapeutic decisions to be made earlier in the patient's clinical course.

Reference:

1. Chatterjee, K. Swan-Ganz Catheters: Past, Present, and Future: A Viewpoint. Circulation JAHA, 2009. 119:147-152.

* PAOP available through balloon occlusion function.

Advanced technology catheters

Edwards’ Swan-Ganz advanced technology pulmonary artery catheters offer a comprehensive hemodynamic profile delivered by a single catheter to help clinicians assess cardiovascular function and guide treatment decisions.

Swan-Ganz pulmonary artery catheters give you a comprehensive hemodynamic profile—delivered by a single catheter^*—to guide treatment strategy. For a continuous view of cardiac function that can enable earlier intervention, choose the catheter with the parameters that best suit your clinical approach and your patient’s needs.

Swan-Ganz Advanced Technology catheters offer Continuous Cardiac Output (CCO) which continuously monitors cardiac output.

CCO thermodilution catheters allow for continuous calculation and display of cardiac output
HemoSphere advanced monitor uses thermal energy to calculate cardiac output using thermodilution principles
Alternatively, cardiac output can be measured using the traditional bolus thermodilution method

HemoSphere advanced monitoring platform offers patient management across a diversity of patient profiles and care settings.

^*When used with a compatible monitoring platform.

Model numbers

Model	Description	Size (F)	CCO	SvO₂	SV	SVR	RVEF	RVEDV	VIP port
774F75	Swan-Ganz CCOmbo V (CCO/SvO₂/CEDV) Thermodilution	7.5	X	X	X	X	X	X
777F8	Swan-Ganz CCOmbo V (CCO/SvO₂/CEDV/VIP) Thermodilution	8	X	X	X	X	X	X	X

View the Swan-Ganz pulmonary artery catheter brochure

Standard and pacing catheters

Swan-Ganz catheter. The clarity you need to make more informed decisions.

Thermodilution pulmonary artery catheters

The thermodilution catheters monitor intracardiac pressures, cardiac output, and provide infusing solutions.

When used with a compatible monitor, the following parameters are available through the thermodilution catheters: ICO, PAPs, PAOP^*

Assesses hemodynamic condition through direct intracardiac and pulmonary artery pressure monitoring, cardiac output determination and for infusing solutions^†
The distal (pulmonary artery) port also allows sampling of mixed venous blood for the assessment of oxygen transport balance and the calculation of derived parameters such as oxygen consumption, oxygen utilization coefficient, and intrapulmonary shunt fraction
Swan-Ganz VIP catheters have an extra lumen with proximal port (30 cm) for infusion in addition to the standard distal and injectate lumens to provide direct access to the right atrium
Swan-Ganz VIP+ catheter has a right ventricular lumen that terminates 19 cm from the catheter tip and the right atrial lumen at 31 cm

Model numbers

Model	Description	Size (F)	Length (cm)
132F5	Four Lumen Catheter	5	78
096F6P	Four Lumen Catheter	6	110
131F7	Standard Four Lumen Catheter	7	110

Flow-directed monitoring catheters

The following parameters are available through the flow-directed monitoring catheters^†: Pulmonary Artery Pressure (PAP), Pulmonary Artery Occlusion Pressure (PAOP)^*.

The flow-directed monitoring catheters monitor right heart pressures and enable mixed venous blood sampling as well as infusing solutions.

Swan ganz flow directed monitoring catheter

Model numbers

Model	Description	Size (F)	Length (cm)
110F5	Double Lumen Monitoring	5	110
111F7P	Double Lumen Monitoring	7	110
123F6P	Double Lumen Monitoring	6	110
114F7, 114F7P	Triple Lumen Monitoring	7	110

Bipolar pacing catheters

Bipolar pacing catheters are designed for temporary right ventricular endocardial pacing.^‡;

Balloon tip facilitates insertion by flow-direction
A pair of electrodes at the tip provide capabilities for bipolar pacing
"J"- tip configuration is available for femoral insertion to predispose the catheter to a stable pacing position in the apex of the right ventricle

Bipolar pacing brochure

Swan ganz Bipolar pacing catheter

Model numbers

Model	Description	Size (F)	Length (cm)
D97120F5	SVC Insertion, Catheter Only	5	90
D97130F5	Femoral Insertion, Catheter Only, J-Tip	5	90

Thermodilution paceport catheter

The A-V Paceport or Pacing-TD catheters offer atrial, ventricular, or A-V sequential temporary transvenous pacing in the right heart.^§

The Thermodilution paceport catheter offers temporary transvenous right ventricular pacing^‡ when used with the appropriate Edwards Chandler Transluminal V pacing probes
The Thermodilution A-V paceport catheter is indicated for temporary transvenous right ventricular, atrial, or A-V sequential pacing^‡ when used with the appropriate Edwards Chandler Transluminal A and/or V pacing probes
Swan-Ganz oximetry paceport TD catheters offer bolus cardiac output and SvO₂ monitoring when used with a compatible monitor in addition to temporary transvenous pacing when used with the appropriate Edwards Chandler Transluminal V pacing probe

Model numbers

Model	Description	Size (F)	Length (cm)
931F75	Paceport 5 Lumen TD Catheter	7.5	110

Pacing-TD catheters

The A-V Paceport or Pacing-TD catheters offer atrial, ventricular, or A-V sequential temporary transvenous pacing in the right heart.^§

Three atrial and two ventricular electrodes for atrial and ventricular pacing and atrioventricular (A-V) sequential pacing are integrated into the pulmonary artery catheter for temporary transvenous pacing^‡
Pacing-TD catheter can measure right heart pressures, blood sampling, solution infusion, and cardiac output measurements by thermodilution when used with a compatible monitoring platform

Pacing-TD brochure

Swan ganz Thermodilution paceport catheter

Model numbers

Model	Description	Size (F)	Length (cm)
D200F7	Pacing-TD Catheter	7	110

* PAOP available through balloon occlusion function.
† When used with a compatible monitoring platform.
‡ When used with an external pacemaker.
§ When used with an external pacemaker and used with the appropriate Edwards Chandler Transluminal A and/or V pacing probes.
Thermodilution is abbreviated as TD.

Edwards clinical education

Hemodynamic education empowering clinical advancement

With a long-term commitment to improving the quality of care for surgical and critical care patients through education, Edwards clinical education meets you no matter where you are in the learning process — with a continuum of resources and tools that continuously support you as you solve the clinical challenges facing you today, and in the future.

Swan-Ganz pulmonary artery catheter advanced hemodynamic monitoring poster

Swan-Ganz catheter insertion and connection to the HemoSphere monitor eLearning

image of swan-ganz e-learning joanne's story

Swan-Ganz catheter eLearning – Joanne’s story

See all Swan-Ganz education resources

Clinical evidence

Complete Hemodynamic Profiling with Pulmonary Artery Catheters in Cardiogenic Shock Is Associated with Lower In-Hospital Mortality

The objective of the study, directed by Garan et al., explored the potential benefit of obtaining a complete hemodynamic profile via pulmonary artery catheters (PAC) prior to administration of mechanical circulatory support (MCS) in cardiogenic shock (CS) patients. The study observed that CS patients with complete PAC data obtained prior to MCS had improved survival compared to those who did not.

Further, the study showed that an incomplete hemodynamic dataset was equivalent to having no PAC data with regard to in-hospital mortality. Additional benefits from complete PAC data acquisition include early identification of hemodynamic compromise requiring immediate MCS, in order to avoid potentially irreversible end-organ dysfunction as a result of treatment delays.

Lower mortality in patients with advanced stages of CS
Lowest in-hospital mortality across study sub-groups and SCAI stages
Early identification of hemodynamic compromise
An incomplete hemodynamic dataset is equivalent to having no PAC data

View study

“The complete PAC assessment group had the lowest in-hospital mortality compared to the other groups across all SCAI stages.”
Study by Garan et al.

Pulmonary Artery Catheter Use in Adult Patients Undergoing Cardiac Surgery: a retrospective, cohort study

In this retrospective study conducted by Shaw et al., the utility of pulmonary artery catheters (PAC) in complex cardiac surgeries, and their association with subsequent clinical outcomes including 30-day in-hospital mortality, major morbidity, and length of stay was examined.

The analysis comprised two cohorts totaling 6844 patients who underwent CABG, isolated valve surgery, aortic surgery and other complex procedures from January 1, 2011 to June 30, 2015. The study concluded PAC use did not contribute to in-hospital mortality and could be associated with a statistically significant decrease in length of hospital stay and a significant decrease in the cardiopulmonary morbidity composite.

Decreased LOS
Decreased pulmonary morbidity
No increased risk of in-hospital mortality

View study

“PAC use was associated with a statistically significant decrease in length of hospital stay and a significant decrease in the cardiopulmonary morbidity composite.”
Study by Shaw et al.

Accessories

CO-Set+ closed injectate delivery system works effectively with room temperature or cold injectate for the measurement of bolus thermodilution cardiac output when used with a compatible monitoring platform and Swan-Ganz catheter.

In-line temperature probe is directly in the injectate fluid path
Innovative contamination shield is integrated into the reinforced plunger to help close the system
Volume-limited syringe (10cc) aids in obtaining reproducible cardiac output by simplifying filling and eliminating the variability from differences in filling techniques
The syringe plunger and the finger grips on the syringe jacket have been designed to help accommodate a wide range of user hand sizes for efficient and comfortable injection of fluid