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Related Experiment Videos

Sheathless technique of Ash Split-Cath insertion.

A Patel1, S Hofkin, D Ball

  • 1Department of Diagnostic Imaging, Temple University Hospital, Philadelphia, Pennsylvania, USA. patelaalpen@hotmail.com

Journal of Vascular and Interventional Radiology : JVIR
|April 5, 2001
PubMed
Summary

A new Ash Split-Cath insertion method without a peel-away sheath was evaluated. This technique showed no air embolisms, potentially reducing this risk during catheter placement.

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Area of Science:

  • Medical Devices
  • Vascular Access
  • Patient Safety

Background:

  • The Ash Split-Cath is a type of central venous catheter.
  • Traditional insertion involves a peel-away sheath, which carries a risk of air embolism.
  • Minimizing complications during catheter insertion is crucial for patient care.

Purpose of the Study:

  • To describe and evaluate a novel technique for Ash Split-Cath insertion that omits the peel-away sheath.
  • To assess the safety and efficacy of this sheathless technique in reducing the risk of air embolism.

Main Methods:

  • A retrospective review was conducted on 62 Ash Split-Cath insertions using the novel sheathless technique across three hospitals.
  • Data collected included instances of conversion to the standard technique, catheter malfunction, hematoma, and air embolism.

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Main Results:

  • The sheathless technique was successfully used in 58 out of 62 cases (93.5%).
  • Conversion to the standard technique was required in four cases, primarily due to significant scarring from prior catheterizations.
  • No instances of air embolism, hematoma, or immediate catheter malfunction were reported in the cases using the sheathless method.

Conclusions:

  • Eliminating the peel-away sheath during Ash Split-Cath insertion appears to be a safe and effective alternative.
  • This novel technique may significantly decrease the potential for air embolism, a serious complication associated with central venous catheterization.
  • Further investigation into this sheathless approach is warranted to confirm its benefits in a broader patient population.