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Overcoming a kinked peel-away sheath during central line implantation
J B Atkinson1, K L Chamberlin, J de Csepel
1Division of Pediatric Surgery, Children's Hospital of Los Angeles, CA 90027.
Journal of Pediatric Surgery
|March 1, 1994
Abstract:
In pediatric patients, central line implantation via the subclavian vein can be complicated by the presence of a kink in the peel-away sheath. A technique is described, which has been used on 62 occasions to overcome this problem. Reinserting the catheter through the kinked peel-away sheath in concert with a guidewire that extends 3 to 4 cm beyond the catheter tip can ensure successful placement.