What are the steps of the Seldinger technique?

Technique

1. desired vessel or cavity is punctured using a trocar (hollow needle)
2. soft curved tip guide wire is then inserted through the trocar and advanced into the lumen.
3. guidewire is held secured in place whilst the introducer trocar is removed.

When do you use the Seldinger technique?

Uses. The Seldinger technique is used for angiography, insertion of chest drains and central venous catheters, insertion of PEG tubes using the push technique, insertion of the leads for an artificial pacemaker or implantable cardioverter-defibrillator, and numerous other interventional medical procedures.

How do you perform femoral cannulation?

Hold the catheter near its tip and insert the tip through the skin. Then, in increments of several centimeters and using a corkscrew motion as necessary, stepwise advance the entire length of the femoral catheter. Maintain your grasp on both the guidewire and the catheter.

How do you confirm the placement of the femoral line?

Use your index and middle fingers to locate the distal and proximal pulsations of the femoral artery, respectively. Just medial to your fingertips should be the general course of the femoral vein. Hence, you should puncture just medial to your index finger in a direction just medial to your middle finger.

What is a Seldinger needle?

The modified Seldinger technique involves “blind” insertion of a needle into the abdomen, placement of a guidewire, dilation of a tract, and insertion of the catheter through a sheath, all without visualization of the peritoneal cavity.

What is femoral cannulation?

Percutaneous cannulation of the femoral vein uses anatomic landmarks to guide venipuncture and a Seldinger technique to thread a central venous catheter through the femoral vein and into the inferior vena cava.

What is femoral artery cannulation?

Ultrasound-guided cannulation of the femoral artery uses real-time (dynamic) ultrasound to guide arterial puncture and a guidewire (Seldinger technique) to thread a catheter through the femoral artery and into the distal aorta.

Is femoral line a central line?

Femoral Central Lines – Use Cases Femoral Lines enable similar flow rates and CVP monitoring (blood pressure monitoring) as other central catheter lines, making them an exceptional alternative for vascular access – provided your vascular access clinician has the skill set and training required.

How do you insert a femoral CVP line?

The site to choose should be 1-2 cm below the inguinal crease, about 1cm medial to the femoral pulse. Be sure to enter below the inguinal crease to avoid retroperitoneal puncture. Using the blue 25 ga needle anesthetize the skin with lidocaine, and then the subcutaneous tissues with the green 22 ga needle.

What is the Seldinger technique for lead insertion?

The Seldinger technique is employed to access a central vein with a 5 or 6 French sheath. The sheath has a haemostatic valve, which prevents blood loss at the time of lead insertion. Percutaneous insertion via the right internal jugular vein probably offers least complications with ease of manipulation and stability of the lead.

What is the history of the Seldinger technique?

History. The Seldinger technique was first described in 1953 by Sven-Ivar Seldinger (1921-1998), a pioneering Swedish interventional radiologist. Prior to this procedure, sharp large-bore trocars were employed to gain arterial access, resulting in a high rate of complications and limiting its use to larger arteries.

What is the Seldinger technique for central venous access?

The Seldinger technique is the most commonly used method of gaining central venous access. It was initially described in 1953 by Seldinger as a vascular access method for percutaneous arteriography. [ 9]

What is the Seldinger technique for hepatic vein fistula?

Seldinger technique used to pass guidewire from hepatic vein into portal vein branch, and subsequent dilation of needle tract and stent placement creating hepatic vein-portal vein fistula. Seldinger technique: Needle puncture with subsequent guidewire introduction into vessel through needle; needle exchanged for sheath/catheter over wire