Document Detail

Novel technique for placement of hemodialysis catheters using a combined open procedure with the Seldinger micropuncture technique.
MedLine Citation:
PMID:  15869147     Owner:  NLM     Status:  MEDLINE    
Percutaneous placement of large-diameter dialysis catheters via the Seldinger technique can be technically challenging in patients with coagulopathy, difficult anatomy, or several previous central line insertions. We describe a method for achieving safer access by combining an open approach to delineate the venous anatomy of the chest wall, with a micropuncture device and smaller diameter guidewire to gain intravascular access to the cephalic vein or its major tributaries. Serial dilation of otherwise unusable vessels can then permit successful and safer hemodialysis catheter insertion in these difficult cases.
J Maa; J E Gosnell; T A M Chuter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  71     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-05-04     Completed Date:  2005-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267-8     Citation Subset:  IM    
Department of General Surgery, University of California at San Francisco, San Mateo Medical Center, San Francisco, California 94103, USA.
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MeSH Terms
Arteriovenous Shunt, Surgical / instrumentation,  methods*
Catheterization, Central Venous / instrumentation,  methods
Combined Modality Therapy
Equipment Design
Equipment Safety
Renal Dialysis / instrumentation,  methods*
Risk Assessment
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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