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Seldinger technique

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Thaut, L; Weymouth, W; Hunsaker, B; Reschke, D (January 2019). "Evaluation of Central Venous Access with Accelerated Seldinger Technique Versus Modified Seldinger Technique".
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A modified technique, known as the accelerated Seldinger technique, has also been described where the needle, guidewire, dilator, and sheath are inserted as one unit.
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were used to create lumens through which devices could be passed. This had a high rate of complications. However, with the introduction of the Seldinger technique,
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Upon completion of the desired procedure, the sheath is withdrawn. In certain settings, a sealing device may be used to close the hole made by the procedure.
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can now be passed over the guidewire into the cavity or vessel. Alternatively, drainage tubes are passed over the guidewire (as in chest drains or
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Higgs, ZC; Macafee, DA; Braithwaite, BD; Maxwell-Armstrong, CA (2005). "The Seldinger technique: 50 years on".
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Loss of the guidewire into the cavity or blood vessel is a significant and generally preventable complication.
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may be used to confirm the position of the catheter and to manoeuvre it to the desired location. Injection of
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Higgs ZC, Macafee DA, Braithwaite BD, Maxwell-Armstrong CA (2005). "The Seldinger technique: 50 years on".
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Seldinger SI (1953). "Catheter replacement of the needle in percutaneous arteriography; a new technique".
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or other devices to perform endoluminal (inside the hollow organ) procedures, such as
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Medical procedure to obtain safe access to blood vessels and other hollow organs
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guidance if necessary. A round-tipped guidewire is then advanced through the
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The desired vessel or cavity is punctured with a sharp hollow needle, with
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The initial puncture is with a sharp instrument, and this may lead to
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may be used to visualize organs. Interventional procedures, such as
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of the needle, and the needle is withdrawn. A sheath or blunt
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tubes using the push technique, insertion of the leads for an
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Prior to the description of the Seldinger technique, sharp
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became a relatively risk-free procedure, and the field of
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A set of equipment to perform the Seldinger technique
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Schummer W, Schummer C, Gaser E, Bartunek R (2002).
1269: 929: 128:is practiced during most Seldinger procedures. 158:An introducer sheath can be used to introduce 893: 541: 354:"Loss of the guide wire: mishap or blunder?" 316: 312: 310: 900: 886: 548: 534: 483:Flash animation of the Seldinger technique 369: 307: 29: 555: 14: 1270: 757:Peripherally inserted central catheter 124:is a possible complication, and hence 102:implantable cardioverter-defibrillator 72:who introduced the procedure in 1953. 881: 529: 907: 429: 80:The Seldinger technique is used for 1098:Extracorporeal membrane oxygenation 285:Building on the work of Seldinger, 24: 1093:Isolated organ perfusion technique 25: 1294: 476: 395:The Journal of Emergency Medicine 250: 238: 226: 214: 202: 190: 107: 1156:Digital subtraction angiography 178:, angioplasty, embolisation or 1181:Magnetic resonance angiography 407:10.1016/j.jemermed.2018.10.021 386: 358:British Journal of Anaesthesia 345: 134: 13: 1: 1252:Ankle–brachial pressure index 862:Needle and syringe programmes 503:10.1016/S0140-6736(05)66878-X 450:10.1016/S0140-6736(05)66878-X 300: 1062:Endovascular aneurysm repair 7: 10: 1299: 752:Peripheral venous catheter 265: 120:of the organ in question. 1239: 1214: 1191: 1146: 1137: 1075: 1047: 1014: 981: 915: 867:Supervised injection site 854: 833: 775: 744: 719: 701: 675: 652: 624: 606: 570: 563: 331:10.3109/00016925309136722 50:to obtain safe access to 1283:Interventional radiology 1222:Intravascular ultrasound 1176:Radionuclide angiography 280:interventional radiology 90:central venous catheters 44:Seldinger wire technique 1227:Carotid ultrasonography 1171:Fluorescein angiography 818:Thermodilution catheter 767:Central venous catheter 75: 1206:Impedance phlebography 1083:Cardiopulmonary bypass 991:Ambulatory phlebectomy 959:Carotid endarterectomy 683:Immunoglobulin therapy 35: 1278:Diagnostic cardiology 33: 1161:Cerebral angiography 922:Endovascular surgery 808:Implantable catheter 703:Parenteral nutrition 371:10.1093/bja/88.1.144 182:, may be performed. 98:artificial pacemaker 1120:Seldinger technique 1115:First rib resection 1067:Open aortic surgery 761:Seldinger technique 589:Fresh frozen plasma 572:Blood-based product 557:Intravenous therapy 63:Sven Ivar Seldinger 40:Seldinger technique 667:Sodium bicarbonate 564:Infused substances 36: 1265: 1264: 1235: 1234: 1133: 1132: 1110:Revascularization 875: 874: 823:Dialysis catheter 740: 739: 291:Andreas Gruentzig 54:and other hollow 48:medical procedure 18:Introducer sheath 16:(Redirected from 1290: 1240:Other diagnostic 1144: 1143: 971:Carotid stenting 931:Arterial disease 927: 926: 909:Vascular surgery 902: 895: 888: 879: 878: 662:Ringer's lactate 634:Ringer's lactate 616:Hemoglobin-based 608:Blood substitute 568: 567: 550: 543: 536: 527: 526: 522: 497:(9494): 1407–9. 470: 469: 444:(9494): 1407–9. 433: 427: 426: 390: 384: 383: 373: 349: 343: 342: 319:Acta Radiologica 314: 254: 242: 230: 218: 206: 194: 42:, also known as 21: 1298: 1297: 1293: 1292: 1291: 1289: 1288: 1287: 1268: 1267: 1266: 1261: 1231: 1210: 1187: 1139:Medical imaging 1129: 1105:Vascular access 1071: 1049:Aortic aneurysm 1043: 1010: 977: 939:Vascular bypass 920: 911: 906: 876: 871: 850: 829: 776:Other equipment 771: 736: 715: 697: 671: 648: 626:Volume expander 620: 602: 597:Cryoprecipitate 593:Cryosupernatant 559: 554: 479: 474: 473: 434: 430: 391: 387: 350: 346: 315: 308: 303: 268: 258: 255: 246: 243: 234: 231: 222: 219: 210: 207: 198: 195: 137: 110: 92:, insertion of 84:, insertion of 78: 65:(1921–1998), a 28: 23: 22: 15: 12: 11: 5: 1296: 1286: 1285: 1280: 1263: 1262: 1260: 1259: 1254: 1249: 1243: 1241: 1237: 1236: 1233: 1232: 1230: 1229: 1224: 1218: 1216: 1212: 1211: 1209: 1208: 1203: 1197: 1195: 1189: 1188: 1186: 1185: 1184: 1183: 1178: 1173: 1168: 1163: 1152: 1150: 1141: 1135: 1134: 1131: 1130: 1128: 1127: 1125:Vascular snare 1122: 1117: 1112: 1107: 1102: 1101: 1100: 1090: 1085: 1079: 1077: 1073: 1072: 1070: 1069: 1064: 1058: 1056: 1045: 1044: 1042: 1041: 1036: 1031: 1029:Venous cutdown 1025: 1023: 1012: 1011: 1009: 1008: 1006:Vein stripping 1003: 998: 993: 987: 985: 983:Venous disease 979: 978: 976: 975: 974: 973: 963: 962: 961: 954:Endarterectomy 951: 946: 941: 935: 933: 924: 913: 912: 905: 904: 897: 890: 882: 873: 872: 870: 869: 864: 858: 856: 852: 851: 849: 848: 843: 837: 835: 834:Specific risks 831: 830: 828: 827: 826: 825: 820: 815: 810: 805: 800: 795: 785: 779: 777: 773: 772: 770: 769: 764: 754: 748: 746: 742: 741: 738: 737: 735: 734: 729: 727:Drug injection 723: 721: 717: 716: 714: 713: 707: 705: 699: 698: 696: 695: 690: 688:Gamma globulin 685: 679: 677: 673: 672: 670: 669: 664: 658: 656: 650: 649: 647: 646: 644:Sugar solution 641: 636: 630: 628: 622: 621: 619: 618: 612: 610: 604: 603: 601: 600: 582: 576: 574: 565: 561: 560: 553: 552: 545: 538: 530: 524: 523: 486: 478: 477:External links 475: 472: 471: 428: 385: 344: 305: 304: 302: 299: 287:Charles Dotter 267: 264: 260: 259: 256: 249: 247: 244: 237: 235: 232: 225: 223: 220: 213: 211: 208: 201: 199: 196: 189: 176:thermoablation 136: 133: 109: 106: 77: 74: 26: 9: 6: 4: 3: 2: 1295: 1284: 1281: 1279: 1276: 1275: 1273: 1258: 1255: 1253: 1250: 1248: 1245: 1244: 1242: 1238: 1228: 1225: 1223: 1220: 1219: 1217: 1213: 1207: 1204: 1202: 1199: 1198: 1196: 1194: 1190: 1182: 1179: 1177: 1174: 1172: 1169: 1167: 1164: 1162: 1159: 1158: 1157: 1154: 1153: 1151: 1149: 1145: 1142: 1140: 1136: 1126: 1123: 1121: 1118: 1116: 1113: 1111: 1108: 1106: 1103: 1099: 1096: 1095: 1094: 1091: 1089: 1086: 1084: 1081: 1080: 1078: 1074: 1068: 1065: 1063: 1060: 1059: 1057: 1054: 1050: 1046: 1040: 1037: 1035: 1032: 1030: 1027: 1026: 1024: 1021: 1017: 1013: 1007: 1004: 1002: 1001:Sclerotherapy 999: 997: 996:Laser surgery 994: 992: 989: 988: 986: 984: 980: 972: 969: 968: 967: 964: 960: 957: 956: 955: 952: 950: 947: 945: 942: 940: 937: 936: 934: 932: 928: 925: 923: 918: 914: 910: 903: 898: 896: 891: 889: 884: 883: 880: 868: 865: 863: 860: 859: 857: 853: 847: 846:Extravasation 844: 842: 839: 838: 836: 832: 824: 821: 819: 816: 814: 811: 809: 806: 804: 801: 799: 796: 794: 791: 790: 789: 786: 784: 783:Infusion pump 781: 780: 778: 774: 768: 765: 762: 758: 755: 753: 750: 749: 747: 745:Access points 743: 733: 732:Ascorbic acid 730: 728: 725: 724: 722: 718: 712: 709: 708: 706: 704: 700: 694: 691: 689: 686: 684: 681: 680: 678: 674: 668: 665: 663: 660: 659: 657: 655: 651: 645: 642: 640: 639:Normal saline 637: 635: 632: 631: 629: 627: 623: 617: 614: 613: 611: 609: 605: 598: 594: 590: 586: 583: 581: 578: 577: 575: 573: 569: 566: 562: 558: 551: 546: 544: 539: 537: 532: 531: 528: 520: 516: 512: 508: 504: 500: 496: 492: 487: 484: 481: 480: 467: 463: 459: 455: 451: 447: 443: 439: 432: 424: 420: 416: 412: 408: 404: 400: 396: 389: 381: 377: 372: 367: 363: 359: 355: 348: 340: 336: 332: 328: 325:(5): 368–76. 324: 320: 313: 311: 306: 298: 296: 292: 288: 283: 281: 277: 273: 263: 253: 248: 241: 236: 229: 224: 217: 212: 205: 200: 193: 188: 187: 186: 183: 181: 177: 173: 172:radiocontrast 169: 165: 161: 156: 154: 153:nephrostomies 150: 146: 142: 132: 129: 127: 123: 119: 115: 108:Complications 105: 103: 99: 95: 91: 87: 83: 73: 71: 68: 64: 61: 57: 53: 52:blood vessels 49: 45: 41: 32: 19: 1257:Toe pressure 1119: 1088:Cardioplegia 841:Air embolism 760: 494: 490: 485:(FRCA.co.uk) 441: 437: 431: 401:(1): 23–28. 398: 394: 388: 364:(1): 144–6. 361: 357: 347: 322: 318: 284: 269: 261: 184: 157: 138: 130: 111: 86:chest drains 79: 43: 39: 37: 1201:Portography 1166:Aortography 1148:Angiography 1034:Arteriotomy 949:Atherectomy 944:Angioplasty 676:Medications 580:Whole blood 295:angioplasty 282:blossomed. 276:angiography 168:Fluoroscopy 164:angioplasty 135:Description 118:perforation 82:angiography 70:radiologist 60:named after 1272:Categories 1247:Angioscopy 1215:Ultrasound 1193:Venography 1053:dissection 1039:Phlebotomy 693:Interferon 301:References 293:developed 141:ultrasound 114:hemorrhage 160:catheters 122:Infection 1016:Arterial 966:Stenting 917:Vascular 855:See also 519:42628400 511:16226619 466:42628400 458:16226619 423:54484203 415:30503723 380:11881872 339:13057644 58:. It is 654:Buffers 272:trocars 266:History 149:cannula 126:asepsis 67:Swedish 46:, is a 1022:access 1020:venous 517:  509:  491:Lancet 464:  456:  438:Lancet 421:  413:  378:  337:  257:Step 6 245:Step 5 233:Step 4 221:Step 3 209:Step 2 197:Step 1 180:biopsy 56:organs 1076:Other 720:Other 711:Sugar 515:S2CID 462:S2CID 419:S2CID 145:lumen 1018:and 919:and 813:Port 803:PICC 585:PF24 507:PMID 454:PMID 411:PMID 376:PMID 335:PMID 289:and 88:and 76:Uses 38:The 798:MLC 793:SLC 788:CVC 499:doi 495:366 446:doi 442:366 403:doi 366:doi 327:doi 116:or 100:or 94:PEG 1274:: 1051:/ 595:+ 513:. 505:. 493:. 460:. 452:. 440:. 417:. 409:. 399:56 397:. 374:. 362:88 360:. 356:. 333:. 323:39 321:. 309:^ 297:. 166:. 1055:: 901:e 894:t 887:v 763:) 759:( 599:) 591:( 587:/ 549:e 542:t 535:v 521:. 501:: 468:. 448:: 425:. 405:: 382:. 368:: 341:. 329:: 20:)

Index

Introducer sheath

medical procedure
blood vessels
organs
named after
Sven Ivar Seldinger
Swedish
radiologist
angiography
chest drains
central venous catheters
PEG
artificial pacemaker
implantable cardioverter-defibrillator
hemorrhage
perforation
Infection
asepsis
ultrasound
lumen
cannula
nephrostomies
catheters
angioplasty
Fluoroscopy
radiocontrast
thermoablation
biopsy
Step 1

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