A Modified Seldinger Technique for Open Venous Cannulation
A Modified Seldinger Technique for Open Venous Cannulation
Knebel P, Fischer L, Huesing J, et al
Br J Surg. 2009;96:159-165
Implantable access ports are widely used for administering chemotherapy or other purposes. The aim of this report was to compare 2 methods of vascular access: a standard open insertion method via the cephalic vein (82 patients) and a modified Seldinger technique (82 patients) using a guide wire, vein dilator and sheath for catheter introduction into the vein. For both procedures, correct placement was verified with fluoroscopy. Both procedures had about the same initial success rate: 80% and 84%, respectively, for the standard vs the modified Seldinger method. After multivariate adjustment for age, illness, body mass index, and surgical experience, the 2 procedures remained equivalent.
These 2 procedures were equivalent with respect to success rate. However, if the standard technique was unsuccessful, then the modified Seldinger technique proved useful in an additional 11 patients. In the combined group of patients, catheter placement was successful in 92% of patients. The methods used in this surgical report need to be compared with the slightly superior results reported in some radiologic reports.
Abstract
Randomized Clinical Trial of a Modified Seldinger Technique for Open Central Venous Cannulation for Implantable Access Devices
Knebel P, Fischer L, Huesing J, et al
Br J Surg. 2009;96:159-165
Summary
Implantable access ports are widely used for administering chemotherapy or other purposes. The aim of this report was to compare 2 methods of vascular access: a standard open insertion method via the cephalic vein (82 patients) and a modified Seldinger technique (82 patients) using a guide wire, vein dilator and sheath for catheter introduction into the vein. For both procedures, correct placement was verified with fluoroscopy. Both procedures had about the same initial success rate: 80% and 84%, respectively, for the standard vs the modified Seldinger method. After multivariate adjustment for age, illness, body mass index, and surgical experience, the 2 procedures remained equivalent.
Viewpoint
These 2 procedures were equivalent with respect to success rate. However, if the standard technique was unsuccessful, then the modified Seldinger technique proved useful in an additional 11 patients. In the combined group of patients, catheter placement was successful in 92% of patients. The methods used in this surgical report need to be compared with the slightly superior results reported in some radiologic reports.
Abstract
