The distal balloon is inflated with approximately 1.5 mL of air, allowing the catheter tip to safely "wedge" into a distal branch of the pulmonary artery. Inflation occludes forward flow from the right heart, creating a static, continuous column of blood between the catheter tip and the pulmonary veins. Consequently, the pressure recorded at the distal port equilibrates with, and serves as a highly accurate indirect surrogate for, left atrial pressure (LAP) and LVEDP. Normal PCWP ranges from 6 to 12 mmHg.
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