Overcoming a kinked peel-away sheath during central line implantation.
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.
Atkinson
J B
JB
Division of Pediatric Surgery, Children's Hospital of Los Angeles, CA 90027.
Chamberlin
K L
KL
de Csepel
J
J
Srikanth
M
M
D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D002648:Child; D004867:Equipment Design; D005471:Fluoroscopy; D006801:Humans; D007231:Infant, Newborn; D013350:Subclavian Vein; D016896:Treatment Outcome