Key result
Seldinger technique enables percutaneous large catheter insertion without surgical cut-down using a flexible spring guidewire.
Why the study?
The increasing use of Seldinger's technique in angiography and cardiac catheterization necessitates understanding complications such as intravascular breakage of spring guide wires.
Highlights the mechanical complication of intravascular breakage associated with Seldinger spring guide wires during catheterization.
Answers are grounded in this paper and cite their sources.
Warrants caution with Seldinger guide wires; leaves open incidence and prevention strategies for prospective study.
SELDINGER'S INGENIOUS TECHNIQUE for the percutaneous catheterization of vessels is finding increasing popularity in this country, especially in angiography and cardiac catheterization. The key item in the method is a long coiled spring which is reinforced in its whole length, except for the terminal 3 to 5 cm., by an inlying wire; this construction makes a wire guide which is fairly stiff and yet can, by virture of its very flexible tip, negotiate vessel tortuosities and curves without significant damage to the vascular endothelium. In principle this guide wire is threaded through a needle into the vessel lumen; the needle is then withdrawn over the guide and replaced by a thinwalled plastic catheter which can then be advanced over the wire into the vessel. The technique is simple, requires no surgical cut-down, and allows the introduction of a large catheter, up to No. 8 F, with a comparatively narrow, 14-gauge
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Constantin Cope (1962) studied this question. Seldinger Spring Guide Wires was evaluated. The Seldinger technique utilizes a flexible spring guide wire for percutaneous catheterization, allowing the introduction of large catheters without surgical cut-down.
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