Recommendation 141: We recommend that a pulmonary artery catheter not be used routinely in patients with AHF (Strong Recommendation, Moderate Quality Evidence).

Practical tip:
Tailored hemodynamic therapy with a pulmonary artery catheter under experienced supervision may be clinically useful in highly selected cases, such as ongoing heart failure accompanied by cardiorenal syndrome, poor response to therapy or systemic hypotension or as evaluation for advanced therapies (mechanical circulatory support or heart transplantation).