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"Wire-target" technique for precise vascular access.

Rabih K Hamzeh1, Saar Danon, Sanjay Shah

  • 1Department of Pediatric Cardiology, Rady Children's Hospital San Diego, University of California, San Diego, California 92123, USA. rkhamzeh@hotmail.com

Texas Heart Institute Journal
|August 21, 2009
PubMed
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A novel wire-target technique enables successful percutaneous vascular access in pediatric patients when traditional methods fail. This approach safely establishes arterial, venous, or transhepatic access in challenging cases.

Area of Science:

  • Cardiology
  • Pediatric Interventional Radiology

Background:

  • Percutaneous vascular access in pediatric patients can be challenging due to small vessel size.
  • Difficulties in achieving vascular access may impede necessary diagnostic or interventional procedures.

Purpose of the Study:

  • To describe and evaluate a novel wire-target technique for percutaneous vascular access in pediatric patients.
  • To assess the safety and efficacy of this technique when traditional methods are unsuccessful.

Main Methods:

  • A retrospective review of pediatric patients undergoing cardiac catheterization was conducted.
  • The wire-target technique involved positioning a guidewire across vascular communications to serve as a target for access.
  • Anterior-posterior and lateral fluoroscopic views guided wire targeting and vascular access.
Keywords:
Catheterization/history/instrumentation/methodschild, preschoolheart catheterization/instrumentation/methodsheart defects, congenital/ultrasonographyinfantpediatrics/instrumentation/methodstreatment outcome

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Main Results:

  • Fifteen wire-target procedures were performed in 14 pediatric patients (4 days to 11 years old).
  • The technique successfully established vascular access in all cases.
  • No complications were reported during or after the procedures.

Conclusions:

  • The wire-target technique is a safe and effective method for achieving percutaneous vascular access in selected pediatric patients.
  • This approach provides a viable alternative when traditional vascular access methods are unsuccessful.