Seldinger Technique Based Pulmonary Artery Catheterization: A Procedure to Insert Pulmonary Artery Catheter Through the Jugular Vein in a Porcine Model
In this video, we have demonstrated a step-by-step procedure of pulmonary artery catheterization by inserting an intravascular catheter through jugular vein and reach the pulmonary artery to measure the cardiac chamber pressure in porcine model.
Protocol
All procedures involving animal models have been reviewed by the local institutional animal care committee and the JoVE veterinary review board. 1. Intravascular accesses NOTE: Intravascular accesses are to be established in the right external jugular vein, the left external jugular vein, left carotid artery, left femoral artery, and right femoral vein. In the pig, the external jugular vein is much larger than the internal jugular vein and, th…
Representative Results
Figure 1: Intravascular access guided by ultrasound. (A) Ensure all equipment is ready, sterile, and well-functioning. Necessary equipment includes 7F sheaths (orange), 8F sheaths (blue), and a 12F sheath (white), guidewires for the Seldinger technique, venous catheters for intravascular access, syringe, isotonic saline, scalpel, and suture. (B) Use a linear ultr…
Offenlegungen
The authors have nothing to disclose.
Materials
12L-RS
GE Healthcare Japan
5141337
Ultrasound probe
Adhesive Aperature Drape (OneMed)
evercare
1515-01
75 x 90 cm (hole: 6 x 8 cm)
Alaris GP Guardrails plus
CareFusion
9002TIG01-G
Infusion pump
Alaris Infusion set
BD Plastipak
60593
Alkoholswap
MEDIQ Danmark
3340012
82% ethanol, 0,5% chlorhexidin, skin disinfection
Amplatz Support Wire Guide ExtraStiff
Cook Medical
THSF-25-260-AES
diameter: 0.025 inches, length: 260 cm
BD Connecta
BD
394601
Luer-Lock
BD Emerald
BD
307736
10 mL syringe
BD Luer-Lock
BD Plastipak
300865
BD = Becton Dickinson, 50 mL syringe
BD Venflon Pro
Becton Dickinson Infusion Therapy
393208
17G
Check-Flo Performer Introducer
Cook Medical
RCFW-16.0P-38-30-RB
16 F sheath, 30 cm long
Cios Connect S/N 20015
Siemens Healthineers
C-arm
D-LCC12A-01
GE Healthcare Finland
Pressure measurement monitor
Fast-Cath Hemostasis Introducer 12F
St. Jude Medical
406128
L: 12 cm
Favorita II
Aesculap
Type: GT104
LabChart
ADInstruments
Data aquisition software
Natriumklorid
Fresenius Kabi
7340022100528
9 mg/ml Isotonic saline
PICO50 Aterial Blood Sampler
Radiometer
956-552
2 mL
PowerLab 16/35
ADInstruments
PL3516
Serial number: 3516-1841
Pressure Extension set
CODAN
7,14,020
Tube for anesthetics, 150 cm long, inner diameter 0.9 mm
Propolipid
Fresenius Kabi
21636
Propofol, 10 mg/mL
Fentanyl
B. Braun
71036
50 mikrogram/mL
Radiofocus Introducer II
Radiofocus/Terumo
RS+B80N10MQ
6+7+8F sheaths
S/5 Avance
Datex-Ohmeda
–
Mechanical ventilator
Safersonic Conti Plus & Safergel
SECMA medical innovation
SAF.612.18120.WG.SEC
18 x 120 cm (Safersonic Sterile Transducer Cover with Adhesive Area and Safergel)
Scisense Catheter
Transonic Scisense
FDH-5018B-E245B
Serial number: 50-533. Pressurevolume catheter
Scisense Pressure-Volume Measurement System
Transonic Scisense
ADV500 Model: FY097B.
Pressure-volume box
Swan-Ganz CCOmbo
Edwards Lifesciences
744F75
110 cm
TruWave Pressure Monitoring Set
Edwards Lifesciences
T434303A
210 cm
Vivid iq
GE Medical Systems China
Vivid iq
Zoletil 50 Vet (tiletamin 125 mg and zolazepam 125 mg) Butorphanol (10 mg/mL). Dose for pre-anesthesia: 10 mL/10 kg as intramuscular injection
Virbac
83046805
Zoletil Mix for pigs: 1 vial of Zoletil 50 Vet (dry matter); add 6.25 mL Xylozin (20 mg/mL), 1.25 mL ketamin (100 mg/mL) and 2.5 mL
Seldinger Technique Based Pulmonary Artery Catheterization: A Procedure to Insert Pulmonary Artery Catheter Through the Jugular Vein in a Porcine Model. J. Vis. Exp. (Pending Publication), e20830, doi: (2023).