2023, Number 1
Cardiovasc Metab Sci 2023; 34 (1)
Mexican College of Interventional Cardiology and Endovascular Therapy (COMECITE) international multidisciplinary consensus statement regarding catheter-based pulmonary artery monitoring
Moguel-Ancheita, Rafael; Olvera-Ruiz, Rafael; Villablanca, Pedro A; Monares-Zepeda, Enrique; Basir, Mir B; Lemor, Alejandro; Arya, Virendra K; Álvarez-Villela, Miguel; Galván-Cerón, Rufino Iván; Morales-Álvarez, Jorge A; Villagómez-Ortiz, Asisclo
ABSTRACTThe Swan-Ganz (SG) catheter is an indispensable tool for invasive hemodynamic monitoring but is underused due to controversy for misunderstandings after several confounding studies. The Mexican College of Interventional Cardiology and Endovascular Therapy (COMECITE) invited a select group of international specialists in interventional cardiology, critical cardiology care, and general intensive care for a consensus statement on SG catheter use, endorsed by COMECITE and the Mexican College of Critical Care (COMMEC). The consensus recommends the SG as a diagnostic tool in cardiogenic shock from any etiology and at any class and level, involving one ventricle or both; during worsening heart failure/hemodynamic instability, despite adequate treatment; for differential diagnosis during failed treatment for respiratory distress, hypotension, and or progressive renal failure; for simultaneous monitoring of the pulmonary artery and right atrial pressures during severe right heart-related shock. The consensus encourages centers with low SG utilization to include and master its hemodynamic monitoring benefits.