Umbilical catheter placement aided by coronary guidewires
Abstract Catheterization of the umbilical vessels has proven to be an effective and relatively rapid method for gaining central vascular access in neonates. However, it can be technically difficult, the procedure may last 30 min or longer, and it can be associated with complications in some patients...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-03-01
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| Series: | Molecular and Cellular Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40348-023-00155-5 |
| _version_ | 1797864509504749568 |
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| author | Katarzyna Gendera Stanimir Georgiev Peter Ewert Stefan Eckstein Christoph Fusch Niels Rochow |
| author_facet | Katarzyna Gendera Stanimir Georgiev Peter Ewert Stefan Eckstein Christoph Fusch Niels Rochow |
| author_sort | Katarzyna Gendera |
| collection | DOAJ |
| description | Abstract Catheterization of the umbilical vessels has proven to be an effective and relatively rapid method for gaining central vascular access in neonates. However, it can be technically difficult, the procedure may last 30 min or longer, and it can be associated with complications in some patients. We suggest using a coronary guidewire during catheterization of umbilical vessels to support the placement of umbilical catheters and significantly reduce a risk for complications. We tested the proposed technique in 6 successful ex vivo bench tests of catheterization of the umbilical vessels in stillborn piglets immediately after birth. We are confident that using coronary guidewire as a guiding tool during catheterization of the umbilical vessels is a rapid and safe method. We expect that it allows to obtain a vascular access with lower risk for dangerous procedural complications, which could be a lifesaving in critically ill patients. However, the approach needs to be validated in a comparative study in neonates. |
| first_indexed | 2024-04-09T22:53:02Z |
| format | Article |
| id | doaj.art-9b2fcbbbdf894965b9f913a2d5c6c40e |
| institution | Directory Open Access Journal |
| issn | 2194-7791 |
| language | English |
| last_indexed | 2024-04-09T22:53:02Z |
| publishDate | 2023-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Molecular and Cellular Pediatrics |
| spelling | doaj.art-9b2fcbbbdf894965b9f913a2d5c6c40e2023-03-22T11:33:32ZengSpringerOpenMolecular and Cellular Pediatrics2194-77912023-03-011011410.1186/s40348-023-00155-5Umbilical catheter placement aided by coronary guidewiresKatarzyna Gendera0Stanimir Georgiev1Peter Ewert2Stefan Eckstein3Christoph Fusch4Niels Rochow5Department of Pediatric Cardiology and Congenital Heart Defects, German Heart Center Munich, Technische Universität MünchenDepartment of Pediatric Cardiology and Congenital Heart Defects, German Heart Center Munich, Technische Universität MünchenDepartment of Pediatric Cardiology and Congenital Heart Defects, German Heart Center Munich, Technische Universität MünchenEckstein DesignDepartment of Pediatrics, Paracelsus Medical UniversityDepartment of Pediatrics, Paracelsus Medical UniversityAbstract Catheterization of the umbilical vessels has proven to be an effective and relatively rapid method for gaining central vascular access in neonates. However, it can be technically difficult, the procedure may last 30 min or longer, and it can be associated with complications in some patients. We suggest using a coronary guidewire during catheterization of umbilical vessels to support the placement of umbilical catheters and significantly reduce a risk for complications. We tested the proposed technique in 6 successful ex vivo bench tests of catheterization of the umbilical vessels in stillborn piglets immediately after birth. We are confident that using coronary guidewire as a guiding tool during catheterization of the umbilical vessels is a rapid and safe method. We expect that it allows to obtain a vascular access with lower risk for dangerous procedural complications, which could be a lifesaving in critically ill patients. However, the approach needs to be validated in a comparative study in neonates.https://doi.org/10.1186/s40348-023-00155-5Umbilical vesselsCoronary guidewireNeonatology |
| spellingShingle | Katarzyna Gendera Stanimir Georgiev Peter Ewert Stefan Eckstein Christoph Fusch Niels Rochow Umbilical catheter placement aided by coronary guidewires Molecular and Cellular Pediatrics Umbilical vessels Coronary guidewire Neonatology |
| title | Umbilical catheter placement aided by coronary guidewires |
| title_full | Umbilical catheter placement aided by coronary guidewires |
| title_fullStr | Umbilical catheter placement aided by coronary guidewires |
| title_full_unstemmed | Umbilical catheter placement aided by coronary guidewires |
| title_short | Umbilical catheter placement aided by coronary guidewires |
| title_sort | umbilical catheter placement aided by coronary guidewires |
| topic | Umbilical vessels Coronary guidewire Neonatology |
| url | https://doi.org/10.1186/s40348-023-00155-5 |
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