scholarly journals Thermic sealing in femoral catheterization: First experience with the Secure Device

2019 ◽  
Vol 26 (3) ◽  
pp. 233-240
Author(s):  
Michael Sacherer ◽  
Ewald Kolesnik ◽  
Friederike Von Lewinski ◽  
Nicolas Verheyen ◽  
Karin Brandner ◽  
...  
2005 ◽  
Vol 98 (4) ◽  
pp. 1202-1206 ◽  
Author(s):  
R. Grant Highstead ◽  
Kevin D. Tipton ◽  
Daniel L. Creson ◽  
Robert R. Wolfe ◽  
Arny A. Ferrando

Metabolic investigations often utilize arteriovenous sampling and muscle biopsy. These investigations represent some risk to the subject. We examined 369 studies performed in the General Clinical Research Center between January 1994 and May 2003 for events related to femoral catheterization and muscle biopsies. Incidents were further examined by age (younger: 18–59 yr, n = 133; and older: 60–76 yr, n = 28). There were no clinically defined major complications associated with either procedure. The incidence of femoral catheter repositioning or reinsertion was higher in the older group (25.5 vs. 9.7%). There was no difference in the incidence of premature removal of catheters, ecchymosis or hematoma, or the persistence of pain after discharge. The occurrence of all incidents did not increase with multiple catheterizations. Muscle biopsy was associated with infrequent ecchymosis or hematoma in both groups (1.1 and 3.6% in younger and older groups, respectively). Both procedures entail a small likelihood of a vagallike response (3.3% overall), resulting in nausea, dizziness, and rarely a loss of consciousness. These results indicate that, in skilled hands and a defined clinical setting, the incidents associated with femoral catheterization and muscle biopsy in healthy volunteers are reasonable and largely controllable.


1984 ◽  
Vol 61 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Gerard M. Debrun ◽  
Vassilis Varsos ◽  
Theodore M. Liszczak ◽  
Kenneth R. Davis ◽  
Roberto S. Heros ◽  
...  

✓ Experimental cervical carotid aneurysms in dogs are obliterated with isobutyl-cyanoacrylate (IBCA) injected under direct vision into the aneurysm. Reflux of IBCA into the artery was prevented by inflating either a latex or a Silastic balloon in the carotid artery at the level of the neck of the aneurysm. This balloon was introduced through a catheter advanced into the common carotid artery by femoral catheterization. The Silastic balloon was found to be much more effective than the latex balloon in preventing spillage of IBCA into the lumen.


2015 ◽  
Vol 35 (2) ◽  
pp. 120-123
Author(s):  
Sérgio Silveira Júnior ◽  
Kaiser de Souza Kock ◽  
Diego Machado Silvano ◽  
Mariana Soares ◽  
Daniel Rufato Delgado

PEDIATRICS ◽  
1986 ◽  
Vol 77 (6) ◽  
pp. 842-847
Author(s):  
Robert K. Kanter ◽  
Jerry J. Zimmerman ◽  
Richard H. Strauss ◽  
Kathleen A. Stoeckel

Prospective observations made during surveillance of routine central venous catheterizations for hemodynamic monitoring were evaluated to determine the safety and effectiveness of femoral insertion of central venous catheters and to demonstrate the feasibility of teaching pediatric residents to perform this procedure. During a 19-month period of observation, 29 pediatric patients requiring a central venous catheter underwent attempted percutaneous femoral vein catheterization. Femoral catheterization was successful in 86% of patients attempted, and insertions by pediatric residents were successful in 68% of patients attempted. Arterial puncture was the only significant complication of insertion, occurring in 14%, and was not associated with adverse sequelae. During 33 months of observations, complications of indwelling femoral central venous catheters did not significantly exceed the frequency for internal and external jugular, subclavian, and antecubital central venous catheters. During more than 4 years of observation, the significant complications associated with indwelling femoral central venous catheters were swelling of the leg or documented thrombosis in 11 % of 74 critically ill patients. These observations indicate safety and effectiveness of femoral central venous catheters which compares favorably to central venous catheter insertion by other routes. In contrast to previous reports of central venous catheter insertion via subclavian and internal jugular veins, we observed no cardiorespiratory compromise as a result of femoral central venous catheter complications. Skill in this technique is a feasible educational goal for pediatric residents.


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