Swan-Ganz catheters | Edwards Lifesciences

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The trusted name in pulmonary artery catheters now delivers hemodynamic insights even faster with the FastCCO algorithm – exclusively available for the Swan-Ganz catheter.

The FastCCO algorithm fuses the trusted performance of continuous thermodilution with the rapid response of arterial pressure-based cardiac output (APCO) to deliver CO and SV status every 20 seconds. Providing quicker flow insights than continuous thermodilution, the FastCCO algorithm enables faster feedback for more efficient clinical decision-making.

The 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.

The Swan-Ganz catheter, now with the FastCCO algorithm, enables CO and SV parameters every 20 seconds.

Target complex patient conditions with advanced hemodynamic parameters

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

Stroke volume (now SV_20s with FastCCO algorithm)
Cardiac output (now CO_20s with FastCCO algorithm)
Mixed venous oxygen saturation (SvO₂)
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:

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

* PAOP available through balloon occlusion function.

FastCCO algorithm for Swan-Ganz advanced technology catheters

Trusted performance, faster response

Swan-Ganz pulmonary artery catheters provide flow, pressure, and oxygen delivery and consumption parameters. With the FastCCO algorithm, CO and SV update every 20 seconds, giving you a faster, uninterrupted view of cardiac function for more proactive decision support in your most complex patients.

70% faster than current Swan-Ganz pulmonary artery catheter technologies

Fusing the trusted performance of continuous thermodilution with the rapid response of arterial pressure-based cardiac output (APCO), the FastCCO algorithm delivers continuous flow insights that enable you to quickly respond to transient changes in CO.

For cardiac surgical patients, the FastCCO algorithm can deliver cardiac output values quickly upon coming off of bypass during on-pump procedures.

Individualized fluid management

The FastCCO algorithm’s flow parameter readings every 20 seconds enable continuous observation of patient responses to fluid challenges and passive leg raise tests, and allow faster optimization of fluid management.

The fluid responsiveness test screen on the HemoSphere advanced monitoring platform allows you to quickly assess preload responsiveness by tracking changes in SV, SVI, CO or CI in response to a fluid challenge.

Fluid responsive test screen — Fluid responsiveness test screen on HemoSphere platform

Comprehensive hemodynamic management

FastCCO algorithm is part of the latest software on HemoSphere advanced monitoring platform.

Also available for the modular HemoSphere platform is ForeSight Elite tissue oximetry system, which continuously monitors oxygen saturation, noninvasively. The HemoSphere platform gives you a comprehensive view of tissue oximetry and advanced hemodynamics on one monitor so you can ensure your patient is adequately perfused.

Advanced technology catheter model numbers

Model	Description	Size (F)	CO_20s	SV_20s	CCO	SvO₂	SV	SVR	RVEF	RVEDV	VIP port
774F75	CCOmbo RVEDV (CCO + SvO₂ + RVEDV)	7.5	X	X	X	X	X	X	X	X
777F8	CCOmbo RVEDV/VIP (CCO + SvO₂ + RVEDV + VIP lumen)	8	X	X	X	X	X	X	X	X	X

View the Swan-Ganz catheter brochure

Standard and pacing catheters

The 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
The 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
The 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

Thermodilution brochure

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
831F75	VIP Five Lumen Catheter	7.5	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.

Thermodilution brochure

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
114F7P	Triple Lumen Monitoring	7	110
116F4	Double Lumen Monitoring	4	60

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

Thermodilution paceport brochure

Model numbers

Model	Paceport Catheters and Chandler Probes	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	Swan-Ganz Pacing Catheters	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.

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.

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.

See all Swan-Ganz education resources

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.

image of CO-Set+ close injectate delivery system

Model numbers

Model	Description
93600	Cold Injectate System
93610	Room Temperature Injectate System

HemoSphere cables

Please contact your Edwards representative for cables and sensors that are compatible with the HemoSphere platform.

Model numbers

Model	Description
HEMOXSC100	HemoSphere oximetry cable
HEMPSC100	HemoSphere pressure cable
HEMDPT1000	HemoSphere pressure-out cable
70CC2	Patient CCO cable
For output cables, please contact customer support.

Related products

HemoSphere advanced monitoring platform

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For professional use

For a listing of indications, contraindications, precautions, warnings, and potential adverse events, please refer to the Instructions for Use (consult eifu.edwards.com where applicable).

Edwards Lifesciences devices placed on the European market meeting the essential requirements referred to in Article 3 of the Medical Device Directive 93/42/EEC bear the CE marking of conformity.

Swan-Ganz pulmonary artery catheters

Right heart. Right information. Right now.

Continuous view of cardiac function in your most complex patients