Colardyn F, Vandenbogaerde J, De Niel C, Jordaens L
Acta Cardiol. 1986;41(1):23-9.
Hemodynamic monitoring via a Swan Ganz catheter is often required with critically-ill patients. In the further course of the illness emergency temporary pacing might be necessary, most frequently for AV-conduction disturbances or sinus bradycardia. Insertion via the right internal jugular vein has been used in many cases. This raises the problem that one may find a second central vein, which can lead to serious problems and in any case may be a dangerous waste of time. Recently we had the opportunity to stimulate the right ventricle with a small pacing wire, brought into the ventricle via a Swan Ganz catheter especially designed for this purpose with an extra lumen ending in the right ventricle of the heart. In this account we describe our experience with the first ten patients to whom this method was applied.
重症患者常常需要通过 Swan Ganz 导管进行血流动力学监测。在疾病的进一步发展过程中，紧急临时起搏可能是必要的，最常见于房室传导障碍或窦性心动过缓。在许多情况下，是通过右颈内静脉进行置入。这就带来了一个问题，即可能会发现第二条中心静脉，这可能会导致严重问题，而且无论如何都可能是危险的时间浪费。最近，我们有机会使用一根小起搏导线刺激右心室，该导线通过一根专门为此设计的 Swan Ganz 导管送入心室，该导管有一个额外的腔，其末端位于心脏的右心室。在本报告中，我们描述了对应用该方法的前十位患者的经验。
