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Journal articles on the topic 'Percutaneous Seldinger technique'

Author: Grafiati

Published: 5 June 2025

Last updated: 16 July 2025

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Francois, Karlien, Dieter De Clerck, Tom Robberechts, et al. "Percutaneous insertion of peritoneal dialysis catheters by the nephrologist (modified Seldinger technique)." Bulletin de la Dialyse à Domicile 4, no. 4 (2021): 277–88. http://dx.doi.org/10.25796/bdd.v4i4.63393.

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A proper functioning access to the peritoneal cavity is the first and foremost requirement to start peritoneal dialysis. Most commonly, peritoneal dialysis catheters are inserted using a surgical approach. Laparoscopic peritoneal dialysis catheter insertion is the recommended surgical technique because it offers to employ advanced adjunctive procedures that minimize the risk of mechanical complications. In patients with low risk of mechanical catheter complications, such as patients without prior history of abdominal surgery or peritonitis, and in patients ineligible for general anesthesia, the percutaneous approach of peritoneal dialysis catheter insertion is an alternative to surgical catheter insertion. Percutaneous insertion of peritoneal dialysis catheters can be performed by a dedicated nephrologist, interventional radiologist, surgeon or nurse practitioner under local anesthesia, either with or without image guidance using ultrasound or fluoroscopy. Several reports show similar catheter function rates, mechanical and infectious complications and catheter survival for percutaneously inserted peritoneal dialysis catheters compared to surgically inserted peritoneal dialysis catheters. This article describes the percutaneous insertion of peritoneal dialysis catheters technique adopted at Universitair Ziekenhuis Brussel since 2015. Our technique is a simple low-tech modified Seldinger procedure performed by the nephrologist and not using fluoroscopy guidance. We describe the excellent outcomes of our percutaneously inserted peritoneal dialysis catheters and offer a practical guide to set up your own percutaneous catheter insertion program.

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RAMSEY, D. H., G. L. OLSSON, and MN DP CHAMBERLAIN. "PERCUTANEOUS EPIDURAL SILASTIC CATHETER IMPLANTATION USING THE SELDINGER TECHNIQUE." Anesthesiology 71, Supplement (1989): A741. http://dx.doi.org/10.1097/00000542-198909001-00741.

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Ramsey, D. H., and G. L. Olsson. "Percutaneous epidural silastic catheter implantation using the seldinger technique." Pain 41 (January 1990): S363. http://dx.doi.org/10.1016/0304-3959(90)92841-d.

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Banli, Oktay, Hasan Altun, and Aysegul Oztemel. "Early Start of CAPD with the Seldinger Technique." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 25, no. 6 (2005): 556–59. http://dx.doi.org/10.1177/089686080502500610.

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The ideal method for inserting continuous ambulatory peritoneal dialysis (PD) catheters remains debatable. Minimally invasive techniques are becoming more popular. The routine recommendation for starting PD is 4 – 6 weeks after catheter insertion. We planned a prospective study to evaluate whether this waiting period is necessary. From January 2003 to July 2004, 42 double-cuff Tenckhoff CAPD catheters were inserted into 41 patients. Percutaneous technique was used and PD was started on the sixth day. Only 2 pericatheter leakages (4.8%) were detected. This procedure is comparatively safe, simple, and less costly than surgical and peritoneoscopic placement. The rate of early pericatheter leakage may be lowered with this technique and PD may be started earlier.

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Thirumal, Yerragunta, Vamsi Krishna Yerramneni, Ram Nadha Reddy Kanala, et al. "Technical Nuances of Ventriculoatrial Shunt Using Seldinger Technique for Percutaneous Insertion of Distal Shunt Catheter." Indian Journal of Neurosurgery 9, no. 03 (2020): 230–32. http://dx.doi.org/10.1055/s-0040-1713699.

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Abstract Introduction One of the most seen neurosurgical complications is the ventriculoperitoneal (VP) shunt failure. The cause can be often due to peritoneal malabsorption of cerebrospinal fluid. The next safer alternative is to place a ventriculoatrial (VA) shunt. Various methods of access to the right atrium had been described. The percutaneous method of insertion of distal catheter using Seldinger technique is a safer alternative to open method. We describe the percutaneous insertion of distal catheter using Seldinger technique, modifications in the method, and specific tools required for the insertion. Clinical History The patient is a 22-year-old male who is a known case of tubercular meningitis with recurrent failure of VP shunt due to malabsorption at peritoneal end of catheter. During the last hospital visit, he presented with altered sensorium and computed tomography scan brain showed ventriculomegaly. He was planned for VA shunt placement. Surgical Technique The insertion of ventricular end of the catheter is similar to any other shunt placement. The internal jugular vein (IJV) was punctured using introducer needle and guide wire was placed in the IJV at the level of T6-T7 and the serial dilators passed on the guide wire for creating a track for passage of shunt catheter. The shunt catheter was passed over the guide wire to the desired vertebral level and distal shunt catheter is connected proximally to the shunt catheter in the neck. Conclusion The percutaneous insertion of distal catheter with serial dilators using Seldinger technique is a safe and effective method for VA shunt placement.

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Hanumanthaiah, Deepak, and Anil Ranganath. "Radial artery pseudo aneurysm after percutaneous cannulation using Seldinger technique." Indian Journal of Anaesthesia 55, no. 3 (2011): 274. http://dx.doi.org/10.4103/0019-5049.82680.

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Zahran, Mohamed, and Omar Ahmed. "PERCUTANEOUS DILATATION TRACHEOSTOMY: THE TECHNIQUE FROM THE ENT SURGEON'S PERSPECTIVE." Journal of Surgical Sciences 7, no. 2 (2020): 58–61. http://dx.doi.org/10.33695/jss.v7i2.349.

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The percutaneous dilatation tracheostomy (PDT) using the Seldinger technique was developed a fewdecades ago and gained popularity. PDT has become a more convenient technique for intensive careunits (ICU) patients across the world. The present work aims to share our experience as ENTsurgeons in performing a percutaneous tracheostomy. A series of eight patients were included in thestudy. ICU patients on mechanical ventilation more than 14 days were ideal candidates for PDT. Theinvention of PDT had overcome many obstacles found in the surgical tracheostomy (ST) procedure.PDT can be performed as a bedside procedure which saves both time and cost of operating theatres.

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Melker, Jeremy S., and Andrea Gabrielli. "Melker Cricothyrotomy Kit: An Alternative to the Surgical Technique." Annals of Otology, Rhinology & Laryngology 114, no. 7 (2005): 525–28. http://dx.doi.org/10.1177/000348940511400705.

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Emergent cricothyrotomy is a potentially lifesaving procedure central to acute airway algorithms. In most cases in which cricothyrotomy is indicated, the acuteness of the airway precludes subspecialty consultation before performance of the procedure. The academic environment is an exception, in which the responsibility of securing a “difficult” cricothyroid airway may fall upon junior otolaryngology residents. Described here is the use of the Melker Emergency Cricothyrotomy Kit, a prepackaged kit that uses a wire-guided percutaneous dilational technique (the Seldinger technique) and a procedure-specific polyvinylchloride airway catheter. The wire-guided technique may add a margin of safety for a relatively inexperienced resident performing cricothyrotomy. Furthermore, a newly released version of the kit includes instrumentation for insertion of the Melker airway catheter by the classic surgical technique in addition to that required for the Seldinger technique, which may enable even a seasoned surgeon to secure the airway faster and more safely.

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Fisher, Edward W., and David J. Howard. "Percutaneous tracheostomy in a head and neck unit." Journal of Laryngology & Otology 106, no. 7 (1992): 625–27. http://dx.doi.org/10.1017/s0022215100120365.

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AbstractA recent innovation in the technique of tracheostomy is now available as a commercial kit. A standard tracheostomy tube is inserted using a guidewire and dilator as in the Seldinger technique. The kit was used in nine cases in a unit with a head and neck oncology interest. Two failures were experienced but no serious or fatal complications. The technique is limited when applied to necks which are not anatomically ‘ideal’, and hence will have application in head and neck surgery only after careful patient selection

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Chivi, Simon Peter, and Gregory Carbonella. "Percutaneous CT-guided retrieval of a retained gallstone to treat a cutaneous fistula following cholecystectomy." American Journal of Interventional Radiology 6 (August 1, 2022): 10. http://dx.doi.org/10.25259/ajir_10_2022.

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This case report describes a technique for the removal of a subcutaneously retained gallstone in a patient who had previously undergone laparoscopic cholecystectomy. The patient’s laparoscopic cholecystectomy was complicated by a perihepatic abscess which was drained percutaneously. The percutaneous abscess drainage was complicated by persistent drainage of tiny stones through the drain tract after the drainage catheter was removed. His computed tomography (CT) revealed a cutaneous fistula between the gallbladder fossa and the right flank with retained gallstones. Despite multiple outpatient general surgery visits, the patient’s wound would not heal, and interventional radiology was consulted for management. Using CT guidance, a retained stone in the right flank was targeted, and a percutaneous approach involving serial dilation and retrieval with a 2.4F × 120 cm Boston Scientific Segura Hemisphere Stone Retrieval Basket (Boston Scientific, Marlborough, MA) through an 18F × 40 cm Cook Check-Flo Performer introducer sheath (Cook, Bloomington, IN) was performed. Similar techniques are used in retrieval of intraluminal objects; however, this is a case in which an object lodged within the soft tissues was retrieved using Seldinger technique.

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Melvin, Willie, and Joss D. Fernandez. "Percutaneous Endoscopic Transgastric Jejunostomy: A New Approach." American Surgeon 71, no. 3 (2005): 216–18. http://dx.doi.org/10.1177/000313480507100308.

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A percutaneous transgastric jejunostomy allows long-term simultaneous gastric decompression and jejunal feedings. We have developed a safe and effective bedside technique for placement of a large-bore (22 French) feeding tube while providing gastric drainage with no mortalities and minimal morbidities. We have modified the push technique used for percutaneous gastrostomies and introduced a cut-away sheath that is placed using a modified Seldinger technique. The entire procedure is performed under endoscopic visualization. Our experience with more than 100 successful tube placements has made this method common practice at our institute. This technique is ideal for patients with poor gastric emptying of any etiology. We feel that this technique will have an expanding and important role in the future management of this patient population's nutritional problems.

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Halkier, B. K., C. S. Ho, and A. C. Yee. "Percutaneous feeding gastrostomy with the Seldinger technique: review of 252 patients." Radiology 171, no. 2 (1989): 359–62. http://dx.doi.org/10.1148/radiology.171.2.2495560.

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Maa, J., J. E. Gosnell, and T. A. M. Chuter. "How I Do It: Novel Technique for Placement of Hemodialysis Catheters Using a Combined Open Procedure with the Seldinger Micropuncture Technique." American Surgeon 71, no. 3 (2005): 267–68. http://dx.doi.org/10.1177/000313480507100320.

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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.

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Nogaki, Fumiaki, Noriyuki Suzuki, and Kazuya Sugita. "Retrospective analysis of percutaneous peritoneal dialysis catheter placement using the Seldinger technique." Nihon Toseki Igakkai Zasshi 52, no. 3 (2019): 159–65. http://dx.doi.org/10.4009/jsdt.52.159.

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Jorge A., Obeid, Alejandro García Hevia, Aída V. Canga, Pablo M. Fernández, and José Brizuela Saluzo. "Percutaneous transgluteal drainage." Revista Argentina de Cirugía 113, no. 3 (2021): 359–66. http://dx.doi.org/10.25132/raac.v113.n3.1484.

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Background: Percutaneous drainage is an alternative to surgery in the management of pelvic abscesses. The aim of this study is to evaluate the safety and efficacy of the transgluteal approach. Material and methods: Transgluteal percutaneous drainages were performed by 3 surgeons using computed tomography guidance. The Seldinger technique was used with 8 Fr and 10 Fr catheters under local anesthesia. Drainage was considered successful if the abscess regressed and did not recur. Results: Mean age was 49.2 years. Escherichia coli was the most common microorganism identified. In 50% of the cases, the abscesses occurred postoperatively. Mean duration of drainage was 9.2 days. Drainage was successful in all the cases and there were no major complications. Conclusion: Transgluteal computed tomography-guided approach is safe and well-tolerated for the treatment of deep pelvic abscesses

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Eren, S., M. Büyükavci, N. Ezirmik, and M. Ertek. "Spinal Brucellosis with Paraspinal Abscess Formation Treated with CT Guided Percutaneous Abscess Drainage." Interventional Neuroradiology 10, no. 4 (2004): 329–34. http://dx.doi.org/10.1177/159101990401000407.

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Although brucellosis may be present in various systems, osteoarticular brucellosis is a serious complication of human brucellosis. We present two cases of Brucellar spondylitis (BS) having paraspinal abscess with epidural extension. The first case of non-complicated paraspinal abscess was treated effectively with percutaneous abscess drainage and antibrucellar chemotherapy. However, the second case with disseminated BS and multiseptated large abscess did not respond to needle drainage with medical treatment. Because of the persistence and re-growth of the abscess, he was treated with percutaneous catheter drainage using the Seldinger technique. They showed adequate radiological and clinical response to drainage and antibrucellar chemotherapy.

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Marx, William H., Pasquale Ciaglia, and Kenneth D. Graniero. "Some Important Details in the Technique of Percutaneous Dilatational Tracheostomy via the Modified Seldinger Technique." Chest 110, no. 3 (1996): 762–66. http://dx.doi.org/10.1378/chest.110.3.762.

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Kulaylat, Mahmoud, and Constantine P. Karakousis. "Cutdowns for Totally Implantable Access Ports to Central Veins." Vascular 17, no. 5 (2009): 273–76. http://dx.doi.org/10.2310/6670.2009.00031.

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For insertion of totally implantable access ports, with the catheter end in the superior vena cava, the percutaneous (Seldinger) technique is commonly used. Of cutdowns, the cephalic vein cutdown is the most popular one (success rate about 80%), followed by the external jugular vein cutdown. Our preliminary experience suggests that internal jugular vein and basilic vein cutdowns have the anatomic features to prove both of them superior to the cephalic vein cutdown.

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Yalçin, Ali Can, Çağrı Danışman, and Necat İslamoğlu. "Comparison of Conventional vs. Modified Seldinger Technique in Percutaneous Cholecystostomy and Evaluation of Procedural Efficiency and Safety." Genel Tıp Dergisi 34, no. 6 (2024): 802–7. https://doi.org/10.54005/geneltip.1515982.

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Background/Aims: To assess the effectiveness and safety of a modified Seldinger technique (MST), bypassing consecutive dilatation steps, versus the conventional Seldinger technique (CST) in percutaneous cholecystectomy (PC). Methods: We performed a retrospective observational cohort analysis utilizing a de-identified dataset covering a period of 2 years (2021-2023) in a significant tertiary-level healthcare facility in Turkey. Results: 152 individuals underwent successful PC. No significant differences were found regarding demographic, clinical, or laboratory characteristics between the CST and MST groups, indicating comparable patient profiles. The clinical efficacy rates were comparable between the two trial cohorts (85% in the CST versus 88.5 in the MST group; p = 0.547). The MST group had significantly shorter procedural time compared to the CST (4.24 ± 1.52 vs 2.85 ± 1.31, p=0.001). Safety profiles were similar between groups (p = 0.486), with minor bleeding resolving spontaneously in one patient per group and no major complications observed. Pain during the CST procedure was significantly higher than in the MST group, though this difference did not persist at the 12-hour follow-up (p = 0.01and 0.6, retrospectively). Conclusion: The utilization of the MST technique for PC demonstrated comparable efficacy and safety to the CST. However, MST was found to be associated with a lower incidence of complications related to the procedure, and required less time to perform, when compared to the CST.

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Schaumann, Nikolaus, Veit Lorenz, Peter Schellongowski, et al. "Evaluation of Seldinger Technique Emergency Cricothyroidotomy versus Standard Surgical Cricothyroidotomy in 200 Cadavers." Anesthesiology 102, no. 1 (2005): 7–11. http://dx.doi.org/10.1097/00000542-200501000-00005.

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Background Percutaneous cricothyroidotomy is a lifesaving procedure for airway obstruction in trauma victims who need airway establishment and cannot be intubated or in whom intubation has failed. Methods The purpose of this study was to examine whether there is a training effect using Seldinger technique emergency cricothyroidotomy (group 1; Arndt Emergency Cricothyroidotomy Catheter Set; Cook Critical Care, Bloomington, IN) versus standard surgical cricothyroidotomy (group 2). Twenty emergency physicians performed five cricothyroidotomies with each method in a total of 200 human cadavers, comparing efficacy and safety (speed, success rate, and injuries). Results Seven attempts in group 1 and six in group 2 had to be aborted. Time intervals from the start of the procedure to location of the cricothyroid membrane were not significantly different between the groups. However, time to tracheal puncture (P &lt; 0.01) and time to first ventilation (P &lt; 0.001) were significantly longer in group 2. No time effect could be observed in both groups. The airway was accurately placed into the trachea through the cricothyroid membrane in 88.2% (82 of 93) of the cadavers in group 1 and in 84.0% (79 of 94) in group 2 (not significant). No injuries were observed in group 1, whereas there were six punctures of the thyroid vessels in group 2 (P &lt; 0.05). Conclusions With respect to time needed for the procedure, the participants performed Seldinger technique emergency cricothyroidotomy significantly faster as compared with standard surgical cricothyroidotomy. Even if no training effect had been observed, the authors believe that it is important to train residents in different methods of cricothyroidotomy in cadavers in addition to training in mannequins to achieve a higher level of efficacy in real-life situations. The shorter time to first ventilation and the fact that no injuries could be observed favor the Seldinger technique.

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Metterlein, Thomas, Sabrina Negele, Christian Wunder, Norbert Roewer, and Frank Schuster. "Ultrasound-guided Percutaneous Dilatational Tracheotomy: A fast and safe technique for airway management." Acta Medico-Biotechnica 1, no. 1 (2021): 19–24. http://dx.doi.org/10.18690/actabiomed.4.

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Purpose: To describe a modified technique for percutaneous dilational tracheotomy (PDT) offering possible significant advantages over currently used procedures. Methods: An observational animal study using ultrasound for PDT was performed. After pre-incisional ultrasonic examination, and with continuing ultrasound guidance, the trachea was punctured with an 18-gauge introducer needle and a tracheal tube was inserted using the Seldinger technique and a Ciaglia single dilator. Setting: University Hospital animal laboratory center. Subjects: 11 pietrain pigs (weight 26–36 kg). Results: Successful tracheotomy was accomplished in all 11 pigs. The mean duration of the procedure was 20 seconds from skin penetration to guide wire placement. In one pig, the dorsal wall of the trachea was punctured. Conclusion: This novel procedure is a simple and effective technique for PDT tube placement.

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Abraham, Jose Benito A., Aldrin Joseph R. Gamboa, David S. Finley, et al. "The UCI Seldinger Technique for Percutaneous Renal Cryoablation: Protecting the Tract and Achieving Hemostasis." Journal of Endourology 23, no. 1 (2009): 43–50. http://dx.doi.org/10.1089/end.2008.0032.

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Dolinaj, Vladimir, Sanja Milosev, Gordana Jovanovic, Ana Andrijevic, Nensi Lalic, and Dusanka Janjevic. "The percutaneous dilatational tracheostomy in the intensive care unit - our experience." Medical review 71, suppl. 1 (2018): 77–82. http://dx.doi.org/10.2298/mpns18s1077d.

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Percutaneous tracheostomy is a commonly carried out procedure in patients in the Intensive Care Unit. Percutaneous dilatational tracheostomy consists of the introduction of a tracheal cannula from the front of the neck, through blunt dissection of the pretracheal tissues, using a guide by Seldinger technique. When percutaneous dilatational tracheostomy procedure was introduced in routine clinical practice in the Clinical Center of Vojvodina, procedural protocol was established. This Protocol includes: 1. indications, contraindications and timing for percutaneous dilatational tracheostomy, 2. assessment of the patient, 3. preparation of the patient and equipment, 4. procedure description, 5. potential complications and complication management. At our institution percutaneous dilatational tracheostomy is performed on an individual patient basis assessment within 5-7 days following translaryngeal intubation. Routinely the platelet count, activated prothrombin time and prothrombin time are checked. The patient?s neck is assessed clinicaly and by the use of fiberoptic bronchoscope and ultrasound. At our institution we use the modified Ciaglia technique of the percutaneous dilatational tracheostomy-Ciaglia Single Dilatator method with the TRACOE? experc Set vario which includes spiral rein?forced tracheal cannula. At the end of procedure fiberoptic evaluation of the tracheobroinchial tree is made and chest X-ray is done. Percutaneous dilatational tracheostomy is a simple, safe, and effective procedure performed in the Intensive Care Unit. It is the preferred technique of airway management in the Intensive Care Units in the patients requiring prolonged mechanical ventilation, tracheobronchial hygiene and weaning from mechanical ventilation.

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Aishwerya, Singh, Suman Sanjeev, and Shankar Prasad Vijay. "Assessment of the Role of USG Guidance in Percutaneous Needle Puncture in Interventional Radiology." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 1045–48. https://doi.org/10.5281/zenodo.13268623.

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AbstractAim: The aim of the present study was to assess the role of USG guidance in percutaneous Needle puncture ininterventional radiology.Material & Methods: A retrospectively analysed 2000 consecutive patients who underwent diagnostic ortherapeutic intervention in division of Department of Radio-Diagnosis, Patna Medical College and Hospital,Patna, Bihar, India from October 2020 to November 2021. There were 1100 males and 900 females Age rangingfrom 1 month to 86 years with mean age of 46 years. All the patient had undergone vascular or other target accessincluding non-pulsatile targets under USG guidance with single wall seldinger technique. Then patient eitherunderwent diagnostic angiogram or interventional therapeutic procedure. Patient are assessed immediately afterprocedure and several days after that for any puncture site related complicationsResults: We were successful in gaining the targeted access in all patients (100% success rate). Total complicationrate was 1.5%.All of complications was treated conservatively. Femoral artery was the most common puncturesite followed by saphenous vein over the ankle.Conclusion: The importance of image guidance comparing with historical evidence. We strongly recommend useof USG guidance for Percutaneous puncture. Future studies will optimise the technique further to maximise thebenefits to the patients

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Becker, Felix, Lennart A. Wurche, Martina Darscht, Andreas Pascher, and Benjamin Struecker. "Totally implantable venous access port insertion via open Seldinger approach of the internal jugular vein—a retrospective risk stratification of 500 consecutive patients." Langenbeck's Archives of Surgery 406, no. 3 (2021): 903–10. http://dx.doi.org/10.1007/s00423-021-02097-w.

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Abstract Purpose Modern oncological treatment algorithms require a central venous device in form of a totally implantable venous access port (TIVAP). While most commonly used techniques are surgical cutdown of the cephalic vein or percutaneous puncture of the subclavian vein, there are a relevant number of patients in which an additional strategy is needed. The aim of the current study is to present a surgical technique for TIVAP implantation via an open Seldinger approach of the internal jugular vein and to characterize risk factors, associated with primary failure as well as short- (< 30 days) and long-term (> 30 days) complications. Methods A total of 500 patients were included and followed up for 12 months. Demographic and intraoperative data and short- as well as long-term complications were extracted. Primary endpoint was TIVAP removal due to complication. Logistic regression analysis was used to analyze associated risk factors. Results Surgery was primarily successful in all cases, while success was defined as functional (positive aspiration and infusion test) TIVAP which was implanted via open Seldinger approach of the jugular vein at the intended site. TIVAP removal due to complications during the 1st year occurred in 28 cases (5.6%) while a total of 4 (0.8%) intraoperative complications were noted. Rates for short- and long-term complications were 0.8% and 6.6%, respectively. Conclusion While the presented technique requires relatively long procedure times, it is a safe and reliable method for TIVAP implantation. Our results might help to further introduce the presented technique as a secondary approach in modern TIVAP surgery.

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Finck, Christine, Sam Smith, Richard Jackson, and Charles Wagner. "Percutaneous Subclavian Central Venous Catheterization in Children Younger than One Year of Age." American Surgeon 68, no. 4 (2002): 401–4. http://dx.doi.org/10.1177/000313480206800420.

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Children younger than one year of age frequently require central venous lines (CVLs) for total parenteral nutrition, intravenous antibiotics, and chemotherapy. In many instances surgical cut-down has been favored over percutaneous access. The purpose of this study was to demonstrate the safety and success of percutaneous central venous access in children less than one year of age. Percutaneous access of the subclavian vein was obtained by Seldinger technique. Using the medical procedure code index we reviewed the charts of those patients less than one year of age from January 1, 1999 through December 31, 1999 requiring central venous access. Age, diagnosis, number of CVLs required, site placed, success rate, and weight were recorded. In 1999 a total of 84 patients younger than one year of age received a total of 110 CVLs. In patients less than 6 months of age the success rate for percutaneous access of the subclavian vein was 78.8 per cent and for those children over 6 months the success rate was 96 per cent. The average weight for those less than 6 months was 3.1 kg and for those older than 6 months was 7.63 kg. There were no complications from the procedure. Percutaneous CVL placement in children younger than one year of age is safe and effective. This paper details our technique and reviews infant venous anatomy in the subclavian area.

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Ajit, Kumar. "Evaluation of the USG Guidance in Percutaneous Needle Puncture in Interventional Radiology: A Retrospective Study." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 390–93. https://doi.org/10.5281/zenodo.11399151.

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Aim: The aim of the present study was to assess the role of USG guidance in percutaneous Needle puncture ininterventional radiology.Material & Methods: A retrospectively analysed 2000 consecutive patients who underwent diagnostic ortherapeutic intervention in division of Department of Radiology There were 1100 males and 900 females Ageranging from 1 month to 86 years with mean age of 46 years. All the patient had undergone vascular or othertarget access including non-pulsatile targets under USG guidance with single wall seldinger technique. Thenpatient either underwent diagnostic angiogram or interventional therapeutic procedure. Patient are assessedimmediately after procedure and several days after that for any puncture site related complicationsResults: We were successful in gaining the targeted access in all patients (100% success rate). Totalcomplication rate was 1.5%.All of complications was treated conservatively. Femoral artery was the mostcommon puncture site followed by saphenous vein over the ankle.Conclusion: The importance of image guidance comparing with historical evidence. We strongly recommenduse of USG guidance for Percutaneous puncture. Future studies will optimise the technique further to maximisethe benefits to the patients

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Gilligan, Christopher J. "Novel Single Puncture Approach for Simplicity 3 Sacral Plexus Radiofrequency Ablation: Technical Note." Pain Physician 4;19, no. 4;5 (2016): E643—E648. http://dx.doi.org/10.36076/ppj/2019.19.e643.

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Radiofrequency (RF) ablation of the lateral sacral plexus has been used for the treatment of sacroiliac joint pain including as an adjunct to other palliative therapies for the treatment of painful osseous metastasis. The treatment goal is targeted ablation of the dorsal lateral branches of S1-S4. Though several techniques have been described, the Simplicity III (Neurotherm, Middleton, MA) system allows for ablation to be achieved with a single RF probe by utilizing a multi-electrode curved RF probe to create a continuous ablation line across all sacral nerves. In the standard approach, there is sequential introduction of a spinal needle along the desired ablation tract for local anesthesia followed by separate placement of the ablation probe. Though fluoroscopic guidance is utilized, multiple needle passes increase the risk of complication such as bowel perforation or probe insertion through a neural foramen. It may also extend procedure time and increase radiation dose. We illustrate a technique for Simplicity III RF ablation of the dorsal sacral plexus using a modified Seldinger approach for treatment of a patient with sacroiliac joint pain due to osseous renal cell carcinoma metastasis. The desired ablation tract is initially anesthetized via a hollow micropuncture needle. The needle is then exchanged for a peelaway sheath. The RF probe is inserted through the peelaway sheath thus ensuring the probe is placed precisely along the previously anesthetized tract allowing the procedure to be completed using a single percutaneous puncture. We believe that this approach decreases the risks of bowel perforation, patient discomfort as a result of multiple percutaneous punctures, and procedure time. Key words: Simplicity 3, sacral plexus ablation, image-guided approach, modified Seldinger, chronic sacral pain, thin wall introducer needle

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Gnanalingham, Kanna K., Jesus Lafuente, Stefan Brew, Dominic Thompson, William Harkness, and Richard Hayward. "Percutaneous coagulation of choroid plexus to unblock the ventricular catheter using the Seldinger technique: preliminary report." Surgical Neurology 64, no. 5 (2005): 440–43. http://dx.doi.org/10.1016/j.surneu.2005.06.015.

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Goswami, Jitendra. "Percutaneous Single Stitch Peritoneal Dialysis Catheter Insertion Using the Seldinger Technique: Boost for Interventions by Nephrologist." Journal of the American Society of Nephrology 33, no. 11S (2022): 924. http://dx.doi.org/10.1681/asn.20223311s1924c.

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Nahman, N. S., D. F. Middendorf, W. H. Bay, R. McElligott, S. Powell, and J. Anderson. "Modification of the percutaneous approach to peritoneal dialysis catheter placement under peritoneoscopic visualization: clinical results in 78 patients." Journal of the American Society of Nephrology 3, no. 1 (1992): 103–7. http://dx.doi.org/10.1681/asn.v31103.

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The placement of percutaneous peritoneal dialysis catheters under direct peritoneoscopic visualization is a relatively new technique for establishing peritoneal dialysis access. In this study, in which a modification of the Seldinger technique was used to facilitate the placement of the peritoneoscope, the experience with 82 consecutive catheterization procedures in 78 patients is reported. In 2 (2.4%) of 82 catheterization procedures, we were unable to enter the peritoneal cavity but experienced no other complications unique to the percutaneous approach. Of the 80 successful catheterization procedures, 76 represented first-time catheter placement and constituted a population subjected to life-table analysis examining catheter survival rates, the time to first cutaneous exit site or s.c. tunnel infection, and the time to first episode of peritonitis. After a follow-up period of 50.1 patient yr, 11 catheters were lost because of catheter dysfunction. Other clinical complications included peritoneal fluid leaks at the cutaneous exit site in 11 instances (0.22/patient yr), cutaneous exit site infection in 7 instances (0.14/patient yr), s.c. tunnel infection in 2 instances (0.04/patient yr), and 34 episodes of peritonitis (0.68/patient yr). The results of this study demonstrate that the suggested modification of the percutaneous placement of peritoneal dialysis catheters, under peritoneoscopic visualization, is a viable method for establishing peritoneal access.

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Medani, Samar, Wael Hussein, Mohamed Shantier, Robert Flynn, Catherine Wall, and George Mellotte. "Comparison of Percutaneous and Open Surgical Techniques for First-Time Peritoneal Dialysis Catheter Placement in the Unbreached Peritoneum." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 35, no. 5 (2015): 576–85. http://dx.doi.org/10.3747/pdi.2013.00003.

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BackgroundThe percutaneous Seldinger method of peritoneal dialysis catheter (PDC) insertion has gained favor over recent years whereas traditionally it was reserved for patients considered not fit for general anesthesia. This blind technique is believed to be less safe, and is hence avoided in patients with previous laparotomy incisions. Reports on the success of this method may therefore be criticized for selection bias. In those with no prior abdominal surgery the optimal method of insertion has not been established.MethodsWe retrospectively reviewed the outcomes of first-time PDC placements comparing the percutaneous (group P) and surgical (group S) insertion techniques in patients without a history of previous abdominal surgery in a single center between January 2003 and June 2010. We assessed catheter survival at 3 and 12 months post-insertion and compared complication rates between the two groups.ResultsA total of 63 percutaneous and 64 surgical catheter insertions were analyzed. No significant difference was noted in catheter survival rates between group P and group S (86.2% vs 80% at 3 months, p = 0.37; and 78.3% vs 71.2% at 12 months, p = 0.42 respectively). Early and overall peritonitis rates were similar (5% vs 5.3%; p = 1, and 3.5 vs 4.9 episodes per 100 patient-months; p = 0.13 for group P and group S respectively). There were also no significant differences between the two groups in exit site leaks (15.9% in group P vs 6.3% in group S; p = 0.15), poor initial drainage (9.5% in group P vs 10.9% in group S, p = 0.34) or secondary drainage failure (7.9% in group P vs 18.8% in group S, p = 0.09).ConclusionThis study illustrates the success and safety of percutaneous PDC insertion compared with the open surgical technique in PD naive patients without a history of prior abdominal surgery. Catheter survival was favorable with percutaneous insertion in this low-risk patient population but larger prospective studies may help to determine whether either method is superior. The percutaneous technique can be recommended as a minimally invasive, cost-effective procedure that facilitates implementing an integrated care model in nephrology practice.

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Anderson, Jason H., Nathaniel W. Taggart, Sarah L. Edgerton, Susana Cantero Peral, Kimberly A. Holst, and Frank Cetta. "Ultrasound guided percutaneous common carotid artery access in piglets for intracoronary stem cell infusion." Laboratory Animals 52, no. 1 (2017): 88–92. http://dx.doi.org/10.1177/0023677217719923.

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In pigs, the deep location of the common carotid artery and overlying sternomastoideus muscle in the neck has led to the recommendation for a surgical cutdown for common carotid access, as opposed to minimally invasive techniques for vascular access. We sought to determine if direct percutaneous common carotid artery access in piglets is attainable. Seventeen piglets were anesthetized and intubated. Under two-dimensional and color flow Doppler ultrasound guidance, a 21 gauge needle was utilized to access the right common carotid artery. Following arterial puncture, the Seldinger technique was applied to place a 4 or 5 French introducer. Upon completion of cardiac catheterization with intracoronary stem cell infusion the introducer was removed and manual pressure was applied to prevent hematoma development. Successful access with an introducer was achieved in all 17 piglets. The average weight was 8.5 ± 1.7 kg. One piglet developed a hematoma with hemorrhaging from the catheterization site and was euthanized. This piglet was given bivalirudin for the procedure. After this incident, subsequent piglets were not given anticoagulation and no other complications occurred. Ultrasound guided percutaneous common carotid artery access in piglets is attainable in a safe, reliable, and reproducible manner when performed by microvascular experts.

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Ratnapala, U., H. Wijesekara, and C. Sirisena. "One-year outcomes of percutaneous continuous ambulatory peritoneal dialysis catheter insertion by nephrologists: First experience from Sri Lanka." Journal of the Ceylon College of Physicians 54, no. 2 (2023): 107–12. http://dx.doi.org/10.4038/jccp.v54i2.8027.

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Introduction: Continuous ambulatory peritonealdialysis (CAPD) via a catheter placed in the peritoneum is an established mode of renal replacement therapy. CAPD catheters are placed using either percutaneous or surgical techniques. Percutaneous method is less invasive and avoids the need for general anaesthesia, surgical space, and expertise. This study was conducted to measure one-year outcomes of percutaneous CAPD catheter insertions performed by a nephrology team; the first experience from Sri Lanka.Methods: We retrospectively studied 96 patients in two centers, who underwent percutaneous CAPD catheter insertion over two years with a follow-up period of minimum one year. The catheter was placed using modified Seldinger technique under local anesthesia with ultrasound guidance.Results: Majority were males (78.1%) with a median age of 56 years. Most were on haemodialysis (HD) (85.4%) prior to CAPD catheter insertion. The commonest reason for opting for CAPD was to avoid hospital visits for HD (54.2%). During the follow-up of one year, 85.4% were free of complications. Frequent non-infectious complications were catheter removal (12.5%), visceral injury (4.2%), primary insertion failure (4.2%), and catheter dysfunction (2.1%). Pre-training peritonitis was found in 2.1% with an overall peritonitis rate of 0.4 episodes per patient a year. There was no significant association between catheter-related complications and gender (p=0.68), previous abdominal surgery (p=0.54), diabetes mellitus (p=0.84), and hypertension (p=0.46). One-year catheter survival was 92%.Discussion: One-year outcomes of percutaneous CAPD catheter insertion by nephrologists were efficacious and safe with low complication rates. Hence, CAPD catheter insertion by well-trained nephrologists should be encouraged. Further studies comparing percutaneous versus surgical catheter placement are warranted.

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İslam, Mahmud, Necattin Fırat, Ahmed Cihad Genç, et al. "Comparison of Peritoneal Catheter Insertion Techniques: A Single-Center Experience Comparing Percutaneous and Laparoscopic Approaches." Journal of European Internal Medicine Professionals 1, no. 4 (2023): 144–49. https://doi.org/10.5281/zenodo.10019799.

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Background: There is still no consensus on the best approach for the insertion of the peritoneal dialysis catheter. We aimed to compare the results of the percutaneous Sildenger and laparoscopic surgical peritoneal dialysis catheter insertion approachesMethods: The study examined the files of patients in the chronic PD program retrospectively. Demographic characteristics such as early and late complications, attacks of infection, time of use of the catheter, and number of hospitalizations were recorded to compare both methods. (Tablo 1). The results were evaluated through appropriate statistical analysis of the data.Results: In our study, 32 (53.3%) out of 60 patients included were males. Patients were divided into two groups, the percutaneous PD catheter group (Group 1, n=36) and the Laparoscopic PD catheter group (Group 2, n = 24). The average age for group 1 was 65 years, while it was 57 years for group 2 (p = 0.197). The median follow-up time of the study population was 17 months (7-41). The average first usage time of the PD catheter was 13.5 (11-16.5) days in group 1 versus 21.5 (18.5-27.5) days (p  0.001) in group 2. The exit site leak was 11.1% (n = 4) versus 33.3% (n = 8) in groups 1 and 2, respectively (P = 0.039). No significant difference was observed between the two groups in terms of hospitalization, renal replacement treatment transition, and death.Conclusion: The percutaneous approach for PD catheter insertion is more advantageous compared to surgical techniques with fewer complications. More importantly, there is no risk of anesthesia, in addition to shorter incisions and less hospitalization time.

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Valk, W. J. C., K. D. Liem, and W. B. Geven. "Seldinger Technique as an Alternative Approach for Percutaneous Insertion of Hydrophilic Polyurethane Central Venous Catheters in Newborns." Journal of Parenteral and Enteral Nutrition 19, no. 2 (1995): 151–55. http://dx.doi.org/10.1177/0148607195019002151.

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Jonny, Rudi Supriyadi, Rully Roesli, Goh Bak Leong, Lydia Permata Hilman, and Fidelisa Cita Arini. "A Simple Tenckhoff Catheter Placement Technique for Continuous Ambulatory Peritoneal Dialysis (CAPD) Using the Bandung Method." International Journal of Nephrology 2020 (June 1, 2020): 1–6. http://dx.doi.org/10.1155/2020/4547036.

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Insertion of Tenckhoff catheters for continuous ambulatory peritoneal dialysis by nephrologists remains uncommon in most developing countries, including Indonesia. The aim of this study is to describe our experience on a simple technique of Tenckhoff catheter insertion by a nephrologist called the Bandung method. We conducted a retrospective observational study from May 2012 until December 2018 in 230 patients with end-stage renal disease using the Bandung method, a blind percutaneous insertion approach modified from the Seldinger technique. Early complications after insertion were assessed. The mean age of patients was 47.28 years (range 14–84 years). Within 1 month after insertion, complications occurred in 34 patients: 13 (5.7%) malposition, 8 (3.5%) omental trapping, 6 (2.6%) outlow failure, 3 (1.3%) peritonitis, 1 (0.4%) catheter infections, 1 (0.4%) bleeding, 1 (0.4%) kinking, and 1 (0.4%) hernia. None of these complications led to catheter removal. One patient experienced a late (>1 month) post-insertion complication of malposition that could not be repositioned and led to catheter removal. The Bandung method is a simple, cost effective, and minimally invasive technique for Tenckhoff catheter insertion that is associated with the same rate of complications compared to other techniques. This technique may useful for application in developing countries.

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Lenz, Harald, Kirsti Myre, Tomas Draegni, and Elizabeth Dorph. "A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications." Anesthesiology Research and Practice 2019 (December 10, 2019): 1–8. http://dx.doi.org/10.1155/2019/6769506.

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Background. Long-term venous access has become the standard practice for the administration of chemotherapy, fluid therapy, antibiotics, and parenteral nutrition. The most commonly used methods are percutaneous puncture of the subclavian and internal jugular veins using the Seldinger technique or surgical cutdown of the cephalic vein. Methods. This study is based on a quality registry including all long-term central venous catheter insertion procedures performed in patients >18 years at our department during a five-year period. The following data were registered: demographic data, main diagnosis and indications for the procedure, preoperative blood samples, type of catheter, the venous access used, and the procedure time. In addition, procedural and early postoperative complications were registered: unsuccessful procedures, malpositioned catheters, pneumothorax, hematoma complications, infections, nerve injuries, and wound ruptures. The Seldinger technique using anatomical landmarks at the left subclavian vein was the preferred access. Fluoroscopy was not used. Results. One thousand one hundred and one procedures were performed. In eight (0.7%) cases, the insertion of a catheter was not possible, 23 (2.1%) catheters were incorrectly positioned, twelve (1.1%) patients developed pneumothorax, nine (0.8%) developed hematoma, and three (0.27%) developed infection postoperatively. One (0.1%) patient suffered nerve injury, which totally recovered. No wound ruptures were observed. Conclusions. We have a high success rate of first-attempt insertions compared with other published data, as well as an acceptable and low rate of pneumothorax, hematoma, and infections. However, the number of malpositioned catheters was relatively high. This could probably have been avoided with routine use of fluoroscopy during the procedure.

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Leahy, Kevin, and Ralph P. Tufano. "S172 – Primary TE Puncture in Stapler-Assisted Total Laryngectomy." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P133—P134. http://dx.doi.org/10.1016/j.otohns.2008.05.346.

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Objectives 1) To present a novel method for placement of a primary tracheoesophageal puncture (TEP) following stapler assisted laryngectomy. 2) To discuss the challenges and pitfalls of TEP placement following stapler-assisted laryngectomy. Methods A case series of 10 consecutive patients treated with stapler-assisted laryngectomy who underwent primary tracheoesophageal puncture at the time the initial surgery was conducted. Because stapler-assisted total laryngectomy poses a unique challenge for the placement of concurrent TEP, we developed a novel technique whereby flexible esophagoscopy was performed and under direct visualization, a modified Seldinger technique was employed with a Russel percutaneous gastrostomy placement kit to allow creation of a TEP. This series was performed at a single academic institution. The primary outcome measured was ability of alaryngeal speech. Results 10 consecutive cases of primary tracheoesophageal puncture in stapler-assisted laryngectomy achieved alaryngeal speech. Conclusions The method described provides simple, safe, and repeatable results that facilitate alaryngeal speech in patients undergoing primary tracheoesophageal puncture and stapler-assisted laryngectomy.

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Urban, Kimberly G., and David J. Terris. "Percutaneous Endoscopic Gastrostomy by Head and Neck Surgeons." Otolaryngology–Head and Neck Surgery 116, no. 4 (1997): 489–92. http://dx.doi.org/10.1016/s0194-59989770299-7.

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The endoscopic placement of percutaneous gastrostomy tubes has been an accepted technique for several years but has traditionally been performed by gastroenterologists and general surgeons. Fluoroscopically guided tube placement is now performed by radiologists. Head and neck surgeons have been slow to adopt the responsibility for placing percutaneous gastrostomy tubes despite the fact that most are proficient in both rigid and flexible esophagoscopy and trained in the Seldinger technique. We report on 41 percutaneous endoscopic gastrostomies performed in 39 patients by the Head and Neck Service at Stanford Medical Center between July 1, 1992, and August 30, 1995. There were 28 (71.8%) male and 11 (28.2%) female patients. Eleven (28.2%) procedures were performed in patients at the time of major head and neck resections. Another seven (17.9%) patients underwent percutaneous gastrostomy tube placement at the time of their initial staging panendoscopy before receiving chemotherapy and radiation. Fifteen (38.5%) procedures were performed for severe postsurgical dysphagia. Six (15.4%) patients had neurologic dysfunction, and this procedure was often performed in conjunction with tracheostomy. There were no major complications. Two patients had to undergo intraoperative tube replacement at 7 months and 18 months for chronic infection and tube damage, respectively. The only other complication was local irritation at the surgical site, which occurred in 2 (5.1%) patients. Our experience with percutaneous gastrostomy tube placement confirms that this is a procedure that can be safely performed by head and neck surgeons and should be part of otolaryngology-head and neck surgery training. The ability to provide comprehensive care of head and neck cancer patients as well as a means of supplemental feeding in conjunction with performing tracheostomy in neurologically impaired patients will no doubt improve the service that our specialty can provide.

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Zou, Yun, Yibo Ma, Wenying Chao, Hua Zhou, Yin Zong, and Min Yang. "Assessment of complications and short-term outcomes of percutaneous peritoneal dialysis catheter insertion by conventional or modified Seldinger technique." Renal Failure 43, no. 1 (2021): 919–25. http://dx.doi.org/10.1080/0886022x.2021.1925296.

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Chiancone, Francesco, Maurizio Fedelini, Clemente Meccariello, Luigi Pucci, Marco Fabiano, and Paolo Fedelini. "Spondylodiscitis: A Rare Complication following Percutaneous Nephrostomy." Urologia Journal 84, no. 4 (2016): 270–71. http://dx.doi.org/10.5301/uro.5000204.

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Spondylodiscitis is an inflammation of the intervertebral disc and the adjacent vertebral bodies. The spondylodiscitis can not only be a complication of medical interventions such as an operation near spinal column but also urogenital and vascular interventions and intravenous catheter use. A 71-year-old man was admitted to our emergency department with fever and severe abdominal pain. Antibiotic therapy had been performed with intravenous administration of 2 g of ceftriaxone and the patient underwent the placement of a percutaneous nephrostomy according to Seldinger technique. After 1 week, the patient experienced a severe pain at the lumbar tract of the vertebral column associated with a moderate abdominal pain and septic fever. A magnetic resonance imaging (MRI) of the lumbar spine showed widespread impregnation of the upper portion of L3 and the lower portion of L2 compressing the spinal roots as well as the ileopsoas muscle such as a spondylodiscitis. Liquor culture showed an increase of liquor immunoglobulin G, total liquor protein and was positive for Extended-spectrum beta-lactamases (ESBL) - producing Escherichia coli. After the antibiotic therapy, the spondylodiscitis resolves without important sequelae. In the present case report, we describe a very rare complication of percutaneous nephrostomy tube placement, despite of the prophylactic antibiotic therapy according to the most recent guidelines. Predisposing factors to spondylodiscitis include the very young and elderly, the immunosuppressed, diabetic individuals and a general debilitating disease such as renal failure. This case suggests the importance of remembering spondylodiscitis when septic fever and back pain occurs following the placement of a percutaneous nephrostomy in a septic patient.

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Sing, Ronald F., and B. Todd Heniford. "Bedside Insertion of the Inferior Vena Cava Filter in the Intensive Care Unit." American Surgeon 69, no. 8 (2003): 660–62. http://dx.doi.org/10.1177/000313480306900805.

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Historically, inferior vena cava (IVC) filters have been inserted in the Radiology Department or the Operating Room. When initially designed, vena cava filters required surgical cut down of the internal jugular vein to insert a large (24 French) introducer and it was therefore necessary to perform this procedure in the operating room. Percutaneous methods (e.g., the Seldinger technique) with smaller profile sheath-dilator devices (6 to 12 French) have made IVC filter insertion a much easier procedure. Furthermore, the remaining equipment is simple, portable, and readily available throughout most hospitals (e.g., C-arm, contrast, sterile drapes, gowns, gloves, catheters, etc.). These factors have made it easy to “bring the procedure to the patient.” This is particularly advantageous in critically ill ICU patients. Complication rates of “road trips” for critically ill patients from the ICU to other parts of the hospital (i.e., radiology department or operating room) can result in a mishap rate of 5–30. Secondary benefits of bedside insertion of vena cava filters include cost-effectiveness.

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Didion, Nicole, Fabian Pohlmann, Nina Pirlich, et al. "Favour the best in case of emergency cricothyroidotomy–a randomized cross-over trial on manikin focused training and simulation of common devices." PeerJ 12 (August 23, 2024): e17788. http://dx.doi.org/10.7717/peerj.17788.

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Background Performing an emergency cricothyroidotomy (EC) is extremely challenging, the devices used should be easy to handle and the selected technique reliable. However, there is still an ongoing debate concerning the most superior technique. Methods Three different techniques were compared using a standardized, simulated scenario regarding handling, performing, training and decision making: The scalpel-bougie technique (SBT), the surgical anatomical preparation technique (SAPT) and the Seldinger technique (ST). First, anaesthesia residents and trainees, paramedics and medical students (each group n = 50) performed a cricothyroidotomy randomly assigned with each of the three devices on a simulator manikin. The time needed for successful cricothyroidotomy was the primary endpoint. Secondary endpoints included first-attempt success rate, number of attempts and user-satisfaction. The second part of the study investigated the impact of prior hands-on training on both material selection for EC and on time to decision-making in a simulated “cannot intubate cannot ventilate” situation. Results The simulated scenario revealed that SBT and SAPT were significantly faster than percutaneous EC with ST (p < 0.0001). Success rate was 100% for the first attempt with SBT and SAPT. Significant differences were found with regard to user-satisfaction between individual techniques (p < 0.0001). In terms of user-friendliness, SBT was predominantly assessed as easy (87%). Prior training had a large impact regarding choice of devises (p < 0.05), and time to decision making (p = 0.05; 180 s vs. 233 s). Conclusion This study supports the use of a surgical technique for EC and also a regular training to create familiarity with the materials and the process itself.The trial was registered before study start on 11.11.2018 at ClinicalTrials.gov (NCT: 2018-13819) with Nicole Didion as the principal investigator.

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Savchenko, R. B., S. M. Panasenko, and D. V. Shudrya. "PECULIARITIES OF PARANEPHRAL ABSCESSES WITHOUT OBSTRUCTIVE NEPHROPATHY." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 19, no. 2 (2019): 59–62. http://dx.doi.org/10.31718/2077-1096.19.2.59.

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Until now the appropriateness of surgical tactics for paranephral abscess has been unquestionable. However, due to the improvement of visualizing techniques and wide clinical implementation of minimally invasive technologies, new prospects in the treatment of the disease are coming to light. The article demonstrates the peculiarities of aetiology, pathogenesis, diagnosis and treatment of 73 patients with perinephric abscess, which in most cases develops without being accompanied with obstructive nephropathy. Purulent inflammatory process in the paranephral fatty tissue without obstructive nephropathy was preceded by infectious inflammatory diseases of different localization, hypothermia and trauma. More often, purulent inflammation in the paranephral fatty tissue developed in patients with diabetes mellitus. Septic complications were seen in 80.8% of all cases. At the same time, in patients with diabetes mellitus, the complication rate was significantly higher. Based on the recommendations of the EAU, for starting therapy we used antibiotics, the sensitivity of uropathogens to which, according to the results of the local monitoring of the microbial landscape in the urological department exceeded 90%. After obtaining the results of bacteriological culture test, correction of antibacterial therapy was performed. Percutaneous drainage of a purulent focus was carried out under general anaesthesia with ultrasound guidance, according the Seldinger technique. Severe septic complications occurred in 80.8% of patients without obstructive nephropathy and in 86.3% of patients with obstructive nephropathy, more often in diabetics. Ultrasound and CT with contrast enhancement allow revealing a purulent focus in the paranephral fatty tissue with high probability. Percutaneous drainage has proven to be an effective method for the treatment of paranephral abscess.

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K, Muhammad Shereef, and Dipanjan Chatterjee. "2: Surgical Cutdown and Semi Seldinger Technique for Placement of Distal Perfusion Cannula after Percutaneous Cannulation in VA ECMO - Our Experience." ASAIO Journal 71, Supplement 1 (2025): 2. https://doi.org/10.1097/01.mat.0001105876.66535.08.

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Lorentzen, T., L. Sengeløv, C. P. Nolsøe, S. C. Khattar, S. Karstrup, and H. von der Maase. "Ultrasonically Guided Insertion of a Peritoneo-Gastric Shunt in Patients with Malignant Ascites." Acta Radiologica 36, no. 4-6 (1995): 481–84. http://dx.doi.org/10.1177/028418519503600434.

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Purpose: A new method for internal drainage of malignant ascites is presented in 5 patients with symptomatic malignant ascites. Material and Methods: US-guided percutaneous gastrostomy and paracentesis were performed using the Seldinger technique. A 2.5-mm Cope-loop catheter was inserted in the fluid-filled stomach. In the lower abdomen the proximal part of a Denver peritoneo—venous shunt was introduced after dilation up to 4.8 mm. The pump chamber was sutured to the skin. The distal part of the Denver shunt was cut a few cm from the pump chamber and connected to the gastrostomy catheter. When pumping, ascites is shunted to the stomach lumen. Results: The insertion presented no complications, and all shunt systems initially functioned well. However, the shunts had to be removed within the first 2 weeks because of mechanical problems such as clotting, leakage, and peritoneal septum formation. No infections were reported. Conclusion: The peritoneo—gastric shunt may present a therapeutic alternative in selected patients, but the mechanical problems have first to be solved.

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Kodzis, Evelina, Donatas Jocius, Ona Lapteva, and Rugilė Kručaitė. "Common Options and Overlooked Alternative for Drainage of Inaccessible Presacral Abscess: A Case Report." Acta medica Lituanica 28, no. 1 (2021): 13. http://dx.doi.org/10.15388/amed.2021.28.1.13.

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Purpose. To demonstrate options and alternative for drainage of inaccessible presacral abscess by the example of a rare clinical case of pyogenic spondylodiscitis, transsacraly drained under a combination of two interventional techniques – CT-guided bone biopsy and abscess drainage.Materials and methods. A 55-year-old patient with history of recurrent paravertebral abscesses previously treated with antibiotic therapy was referred to our institution experiencing lower back pain and weakness in both lower extremities. Computed tomography revealed pyogenic spondylodiscitis along with left facet joint destruction and presacral abscess located in ventral sacral surface. Due to inaccessible abscess location, it was decided to perform CT-guided percutaneous transsacral abscess drainage. An 8G bone marrow biopsy needle was used to penetrate the sacrum and create a path for drainage catheter placement. Using the Seldinger technique 8 Fr drainage catheter was inserted into abscess cavity.Results. Neither early nor late procedure-related complications occurred. Sixteen days after drainage procedure, the catheter was withdrawn as patient’s condition improved and the outflow of pus had reduced considerably.Conclusions. Despite being rarely used, CT fluoroscopy-guided transsacral drainage approach is considered to be minimally invasive and in some cases the only viable option for drainage of pyogenic spondilodiscitis of the lumbosacral junction.

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Ponce, Daniela, Vanessa B. Banin, Tricya Nunes Bueloni, Pasqual Barretti, Jacqueline Caramori, and André Luís Balbi. "Different outcomes of peritoneal catheter percutaneous placement by nephrologists using a trocar versus the Seldinger technique: the experience of two Brazilian centers." International Urology and Nephrology 46, no. 10 (2014): 2029–34. http://dx.doi.org/10.1007/s11255-014-0738-6.

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Chatterjee, Dipanjan, and Muhammed Shereef Kadiriya Manzil. "Surgical Cut-down and Semi-Seldinger Technique for Accurately Placing Distal Perfusion Cannula after Percutaneous Placement of Arterial Return Cannula in VA ECMO: Our Experience." Indian Journal of ECMO 2, no. 2 (2025): 39–42. https://doi.org/10.5005/jaypee-journals-11011-0033.

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