217:
205:
181:
241:
229:
193:
20:
382:
Thaut, L; Weymouth, W; Hunsaker, B; Reschke, D (January 2019). "Evaluation of
Central Venous Access with Accelerated Seldinger Technique Versus Modified Seldinger Technique".
251:
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.
806:
786:
263:
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,
781:
796:
174:
Upon completion of the desired procedure, the sheath is withdrawn.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.
140:
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
888:
536:
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745:
90:
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82:
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1240:
881:
529:
604:
216:
1144:
1266:
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655:
478:
Higgs, ZC; Macafee, DA; Braithwaite, BD; Maxwell-Armstrong, CA (2005). "The
Seldinger technique: 50 years on".
120:
Loss of the guidewire into the cavity or blood vessel is a significant and generally preventable complication.
159:
may be used to confirm the position of the catheter and to manoeuvre it to the desired location. Injection of
850:
573:
910:
1050:
874:
650:
622:
522:
425:
Higgs ZC, Macafee DA, Braithwaite BD, Maxwell-Armstrong CA (2005). "The
Seldinger technique: 50 years on".
204:
642:
306:
Seldinger SI (1953). "Catheter replacement of the needle in percutaneous arteriography; a new technique".
834:
180:
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632:
919:
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8:
1103:
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or other devices to perform endoluminal (inside the hollow organ) procedures, such as
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627:
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44:
16:
Medical procedure to obtain safe access to blood vessels and other hollow organs
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801:
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676:
275:
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989:
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guidance if necessary. A round-tipped guidewire is then advanced through the
1245:
1076:
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403:
368:
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The desired vessel or cavity is punctured with a sharp hollow needle, with
40:
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568:
283:
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1181:
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514:
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The initial puncture is with a sharp instrument, and this may lead to
110:
58:
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may be used to visualize organs. Interventional procedures, such as
954:
866:
148:
260:
137:
114:
19:
1004:
168:
144:). After passing a sheath or tube, the guidewire is withdrawn.
55:
48:
136:
of the needle, and the needle is withdrawn. A sheath or blunt
85:
tubes using the push technique, insertion of the leads for an
340:
381:
1008:
259:
Prior to the description of the
Seldinger technique, sharp
267:
became a relatively risk-free procedure, and the field of
93:, and numerous other interventional medical procedures.
23:
A set of equipment to perform the
Seldinger technique
341:
Schummer W, Schummer C, Gaser E, Bartunek R (2002).
1258:
918:
117:is practiced during most Seldinger procedures.
147:An introducer sheath can be used to introduce
882:
530:
343:"Loss of the guide wire: mishap or blunder?"
305:
301:
299:
889:
875:
537:
523:
472:Flash animation of the Seldinger technique
358:
296:
18:
544:
1259:
746:Peripherally inserted central catheter
113:is a possible complication, and hence
91:implantable cardioverter-defibrillator
61:who introduced the procedure in 1953.
870:
518:
896:
418:
69:The Seldinger technique is used for
1087:Extracorporeal membrane oxygenation
274:Building on the work of Seldinger,
13:
1082:Isolated organ perfusion technique
14:
1283:
465:
384:The Journal of Emergency Medicine
239:
227:
215:
203:
191:
179:
96:
1145:Digital subtraction angiography
167:, angioplasty, embolisation or
1170:Magnetic resonance angiography
396:10.1016/j.jemermed.2018.10.021
375:
347:British Journal of Anaesthesia
334:
123:
1:
1241:Ankle–brachial pressure index
851:Needle and syringe programmes
492:10.1016/S0140-6736(05)66878-X
439:10.1016/S0140-6736(05)66878-X
289:
1051:Endovascular aneurysm repair
7:
10:
1288:
741:Peripheral venous catheter
254:
109:of the organ in question.
1228:
1203:
1180:
1135:
1126:
1064:
1036:
1003:
970:
904:
856:Supervised injection site
843:
822:
764:
733:
708:
690:
664:
641:
613:
595:
559:
552:
320:10.3109/00016925309136722
39:to obtain safe access to
1272:Interventional radiology
1211:Intravascular ultrasound
1165:Radionuclide angiography
269:interventional radiology
79:central venous catheters
33:Seldinger wire technique
1216:Carotid ultrasonography
1160:Fluorescein angiography
807:Thermodilution catheter
756:Central venous catheter
64:
1195:Impedance phlebography
1072:Cardiopulmonary bypass
980:Ambulatory phlebectomy
948:Carotid endarterectomy
672:Immunoglobulin therapy
24:
1267:Diagnostic cardiology
22:
1150:Cerebral angiography
911:Endovascular surgery
797:Implantable catheter
692:Parenteral nutrition
360:10.1093/bja/88.1.144
171:, may be performed.
87:artificial pacemaker
1109:Seldinger technique
1104:First rib resection
1056:Open aortic surgery
750:Seldinger technique
578:Fresh frozen plasma
561:Blood-based product
546:Intravenous therapy
52:Sven Ivar Seldinger
29:Seldinger technique
656:Sodium bicarbonate
553:Infused substances
25:
1254:
1253:
1224:
1223:
1122:
1121:
1099:Revascularization
864:
863:
812:Dialysis catheter
729:
728:
280:Andreas Gruentzig
43:and other hollow
37:medical procedure
1279:
1229:Other diagnostic
1133:
1132:
960:Carotid stenting
920:Arterial disease
916:
915:
898:Vascular surgery
891:
884:
877:
868:
867:
651:Ringer's lactate
623:Ringer's lactate
605:Hemoglobin-based
597:Blood substitute
557:
556:
539:
532:
525:
516:
515:
511:
486:(9494): 1407–9.
459:
458:
433:(9494): 1407–9.
422:
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379:
373:
372:
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338:
332:
331:
308:Acta Radiologica
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31:, also known as
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1256:
1255:
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1199:
1176:
1128:Medical imaging
1118:
1094:Vascular access
1060:
1038:Aortic aneurysm
1032:
999:
966:
928:Vascular bypass
909:
900:
895:
865:
860:
839:
818:
765:Other equipment
760:
725:
704:
686:
660:
637:
615:Volume expander
609:
591:
586:Cryoprecipitate
582:Cryosupernatant
548:
543:
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99:
81:, insertion of
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54:(1921–1998), a
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12:
11:
5:
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1114:Vascular snare
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1018:Venous cutdown
1014:
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1001:
1000:
998:
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995:Vein stripping
992:
987:
982:
976:
974:
972:Venous disease
968:
967:
965:
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952:
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943:Endarterectomy
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824:
823:Specific risks
820:
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718:
716:Drug injection
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696:
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688:
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677:Gamma globulin
674:
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653:
647:
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639:
638:
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635:
633:Sugar solution
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466:External links
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276:Charles Dotter
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165:thermoablation
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1016:
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990:Sclerotherapy
988:
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985:Laser surgery
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835:Extravasation
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772:Infusion pump
770:
769:
767:
763:
757:
754:
751:
747:
744:
742:
739:
738:
736:
734:Access points
732:
722:
721:Ascorbic acid
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628:Normal saline
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314:(5): 368–76.
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166:
162:
161:radiocontrast
158:
154:
150:
145:
143:
142:nephrostomies
139:
135:
131:
121:
118:
116:
112:
108:
104:
97:Complications
94:
92:
88:
84:
80:
76:
72:
62:
60:
57:
53:
50:
46:
42:
41:blood vessels
38:
34:
30:
21:
1246:Toe pressure
1108:
1077:Cardioplegia
830:Air embolism
749:
483:
479:
474:(FRCA.co.uk)
430:
426:
420:
390:(1): 23–28.
387:
383:
377:
353:(1): 144–6.
350:
346:
336:
311:
307:
273:
258:
250:
173:
146:
127:
119:
100:
75:chest drains
68:
32:
28:
26:
1190:Portography
1155:Aortography
1137:Angiography
1023:Arteriotomy
938:Atherectomy
933:Angioplasty
665:Medications
569:Whole blood
284:angioplasty
271:blossomed.
265:angiography
157:Fluoroscopy
153:angioplasty
124:Description
107:perforation
71:angiography
59:radiologist
49:named after
1261:Categories
1236:Angioscopy
1204:Ultrasound
1182:Venography
1042:dissection
1028:Phlebotomy
682:Interferon
290:References
282:developed
130:ultrasound
103:hemorrhage
149:catheters
111:Infection
1005:Arterial
955:Stenting
906:Vascular
844:See also
508:42628400
500:16226619
455:42628400
447:16226619
412:54484203
404:30503723
369:11881872
328:13057644
47:. It is
643:Buffers
261:trocars
255:History
138:cannula
115:asepsis
56:Swedish
35:, is a
1011:access
1009:venous
506:
498:
480:Lancet
453:
445:
427:Lancet
410:
402:
367:
326:
246:Step 6
234:Step 5
222:Step 4
210:Step 3
198:Step 2
186:Step 1
169:biopsy
45:organs
1065:Other
709:Other
700:Sugar
504:S2CID
451:S2CID
408:S2CID
134:lumen
1007:and
908:and
802:Port
792:PICC
574:PF24
496:PMID
443:PMID
400:PMID
365:PMID
324:PMID
278:and
77:and
65:Uses
27:The
787:MLC
782:SLC
777:CVC
488:doi
484:366
435:doi
431:366
392:doi
355:doi
316:doi
105:or
89:or
83:PEG
1263::
1040:/
584:+
502:.
494:.
482:.
449:.
441:.
429:.
406:.
398:.
388:56
386:.
363:.
351:88
349:.
345:.
322:.
312:39
310:.
298:^
286:.
155:.
1044::
890:e
883:t
876:v
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748:(
588:)
580:(
576:/
538:e
531:t
524:v
510:.
490::
457:.
437::
414:.
394::
371:.
357::
330:.
318::
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