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Overview of the Seldinger Technique

The document discusses the Seldinger technique, which is a medical procedure used to safely access blood vessels and hollow organs. It was developed in 1953 and allows entry with small gauge needles, minimizing trauma. It involves using a Seldinger needle, guide wire, dilator, and sheath or catheter. Common access points are femoral, brachial, and radial arteries. Risks include bleeding, thrombus formation, embolism, and infection.

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78 views13 pages

Overview of the Seldinger Technique

The document discusses the Seldinger technique, which is a medical procedure used to safely access blood vessels and hollow organs. It was developed in 1953 and allows entry with small gauge needles, minimizing trauma. It involves using a Seldinger needle, guide wire, dilator, and sheath or catheter. Common access points are femoral, brachial, and radial arteries. Risks include bleeding, thrombus formation, embolism, and infection.

Uploaded by

pntrdzj75w
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Seldinger Technique

Interventional Radiology

Janine S. Baradillo

Sheena Mae M. Mansinades

Generose S. Patriarca

John Clark P. Jamolod


What is Seldinger technique?
• The Seldinger technique is the medical
procedure to obtain safe access to the blood
vessels and other hollow organs.....
HISTORY….
In 1953, Sven Ivar Seldinger
(Swedish radiologist),
published a method for
percutaneous arterial
catheterization that opened the
doors to the field of
angiography & interventional
radiology.
Seldinger technique for introducing catheters
• This technique allows entry into an area without
a cut-down and because small gauge needles are
used.
• There is minimal trauma to surrounding tissues.
• Less pain and faster recovery
Equipments:
Seldinger needle
Guide wire
Dilator
Sheath / Catheter
 Seldinger
Needle
• Mostly used 18
gauge angiographic
needle
• Guide wire is
introduced directly
through the needle
 Guide Wire
• It's a long and flexible, fine metal wire.
• They are the stainless steel metallic structures that
guide the catheter through the blood vessels for
placements.
• Guide wires are used for interventional
procedures
• Tips at the end of GW
Straight
J- tipped – prevents subintimal dissection
of the artery.
• Covered by a coating- Teflon, heparin, and
recently hydrophilic polymers(glide wires) are
used
 Catheter
• Catheter is a tubular, thin, flexible instrument
• It can be inserted into a body cavity, duct or vessel.
• Functionally, they allow drainage, administration of fluid or
gases, and access by surgical instruments
• diameter is given in French(Fr) -3Fr=1mm
 types
 Straight- end hole only—
smaller vessels/minimal contrast.
 Pigtail- circular tip with multiple
side holes —larger vessels/ more
contrast.
 H1 or Head hunter tip- used for
femoral approach to
brachiocephalic vessels
• Simmons catheter is highly curved ---
for sharply angled vessels--cerebral
and visceral angiography.
• C2 or Cobra catheter has angled tip
joined to a gentle curve —celiac,
renal & mesenteric arteries.
• Judkins catheters right (lesser curve)
& left (greater curve) for right & left
coronary arteries.
• Amplatz catheters right & left
coronary arteries
Common access points
 Femoral
 Brachial
 Radial
Risks / Complications
• Bleeding at puncture site
• Thrombus formation
• Embolus formation - plaque dislodged from vessel
wall by catheter
• Dissection of vessel
• Puncture site infection ( contaminated sterile field)
• Contrast reaction

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