Direct measurement of left atrial pressure: During routine transradial catheterization

Faisal Fa’ak, Bahaeddin Shabaneh, George Younis

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Left atrial pressure indicates the left ventricular filling pressure in patients who have systolic or diastolic left ventricular dysfunction or valvular heart disease. The use of indirect surrogate methods to determine left atrial pressure has been essential in the modern evaluation and treatment of cardiovascular disease because of the difficulty and inherent risks associated with direct methods (typically the transseptal approach). One method that has been widely used to determine left atrial pressure indirectly is Swan-Ganz catheterization, in which a balloon-flotation technique is applied to measure pulmonary capillary wedge pressure; however, this approach has been associated with several limitations and potential risks. Measuring left ventricular end-diastolic pressure has also been widely used as a simple means to estimate filling pressures but remains a surrogate for the gold standard of directly measuring left atrial pressure. We describe a simple, low-risk method to directly measure left atrial pressure that involves the use of standard coronary catheterization techniques during a transradial procedure.

Original languageEnglish
Pages (from-to)503-506
Number of pages4
JournalTexas Heart Institute journal
Volume43
Issue number6
DOIs
StatePublished - Dec 2016

Keywords

  • Blood pressure/ left atrial
  • Capillary wedge pressure/hemodynamics/ physiology
  • Cardiac catheterization/ instrumentation/ methods/transradial
  • Catheterization, central venous
  • Clinical protocols
  • Heart atria
  • Hemodynamics/physiology
  • Risk factors

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