C C C C C C C C C C C
C C C C C C C C C C C
The pulmonary capillary wedge pressure or PCWP (also called the pulmonary wedge pressure or PWP, or pulmonary artery occlusion pressure or PAOP) is the pressure measured by wedging a pulmonary catheter with an inflated balloon into a small pulmonary arterial branch.[1] Physiologically, distinctions can be drawn among pulmonary venous pressure, pulmonary artery pressure, pulmonary capillary wedge pressure, and left atrial pressure, but not all of these can be measured in a clinical context.[2]
Clinical significance
Because of the large compliance of the pulmonary circulation, it provides an indirect measure of the left atrial pressure.[5] For example, it is considered the gold standard for determining the cause of acute pulmonary edema; this is likely to be present at a PCWP of >20mmHg. It has also been used to diagnose severity of left ventricular failure and mitral stenosis[6] Calculating PCWP is also important in diagnosis of acute respiratory distress syndrome (ARDS). Physiological pressure: 612 mm Hg.[7]
Site