Rechtsherzkatheteruntersuchung – Schritt für Schritt

Die Rechtsherzkatheteruntersuchung ist ein in der Kardiologie und Intensivmedizin häufig eingesetztes Verfahren vor allem zur Differenzialdiagnose einer pulmonalen Hypertonie und Bestimmung des Herzzeitvolumens. In diesem „Schritt-für-Schritt“-Beitrag gehen die Autoren auf den praktischen Aspekt dieser Methode ein.

Abstract

Right heart catheterisation is a frequently used procedure in cardiology and intensive care medicine, especially for the differential diagnosis of pulmonary hypertension, shunt diagnostics and accurate calculation of the important haemodynamic parameters. Various catheters are available for the examination; the most common and safest is the use of a Swan-Ganz catheter. The complete examination includes probing of the right atrium, right ventricle, pulmonary artery and pulmonary capillary bed. In this „step-by-step“ article, the authors discuss the practical aspects of this method.

Schlüsselwörter

Rechtsherzkatheter - pulmonale Hypertonie - Shunt

Key words

right heart catheterization - pulmonary hypertension - shunt

Publication History

Article published online:
20 August 2021

• Literatur

• 1 Branthwaite MA, Bradley RD. Measurement of cardiac output by thermal dilution in man. J Appl Physiol 1968; 24: 434-438
• 2 Swan HJ, Ganz W, Forrester J. et al. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med 1970; 283: 447-451
• 3 Galie N, Humbert M, Vachiery JL. et al. [2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension]. Kardiol Pol 2015; 73: 1127-1206
• 4 Olschewski H, Hoeper MM, Borst MM. et al. Diagnosis and therapy of chronic pulmonary hypertension. Clin Res Cardiol 2007; 96: 301-330
• 5 Bursi F, McNallan SM, Redfield MM. et al. Pulmonary pressures and death in heart failure: a community study. J Am Coll Cardiol 2012; 59: 222-231
• 6 Krishnan A, Markham R, Savage M. et al. Right Heart Catheterisation: How To Do It. Heart, lung & circulation 2019; 28: e71-e78
• 7 Gassanov N, Caglayan E, Nia A. et al. [Hemodynamic monitoring in the intensive care unit: pulmonary artery catheter versus PiCCO]. Dtsch Med Wochenschr 2011; 136: 376-380
• 8 Galie N, Humbert M, Vachiery JL. et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Resp J 2015; 46: 903-975
• 9 Hoeper MM, Bogaard HJ, Condliffe R. et al. Definitions and diagnosis of pulmonary hypertension. J Am Coll Cardiol 2013; 62: D42-D50
• 10 D'Alto M, Dimopoulos K, Coghlan JG. et al. Right Heart Catheterization for the Diagnosis of Pulmonary Hypertension: Controversies and Practical Issues. Heart Fail Clin 2018; 14: 467-477
• 11 Hoeper MM, Ghofrani HA, Grunig E. et al. Pulmonary Hypertension. Dtsch Arztebl Int 2017; 114: 73-84
• 12 Hoeper MM, Lee SH, Voswinckel R. et al. Complications of right heart catheterization procedures in patients with pulmonary hypertension in experienced centers. J Am Coll Cardiol 2006; 48: 2546-2552