title: A new technique for right heart catheterization with a Swan-Ganz balloon catheter via femoral vein in the patient with dilated right heart chambers, utilizing a modified transseptal-type sheath.
abstract: Right heart catheterization with a Swan-Ganz balloon catheter via femoral vein in the patient with dilated right atrium and ventricle is frequently difficult due to excessive catheter coiling in the dilated atrium. A new technique is described in this situation. By using a modified transseptal-type sheath positioned counterclockwise in right atrium as an introducing sheath, a balloon catheter can be easily advanced to the distal pulmonary artery by smooth counterclockwise direction and secure support from this sheath.
authors.affiliation: Section of Cardiology, Kaiser Permanente Harbor City Medical Center, CA 90710.
authors.forename: H H
authors.initials: HH
authors.lastname: Lee
authors.forename: P R
authors.initials: PR
authors.lastname: Mahrer
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D006332:Cardiomegaly / Q000473:pathology; D002407:Catheterization, Swan-Ganz / Q000295:instrumentation*; D005268:Femoral Vein; D006325:Heart Atria; D006801:Humans