在冠状动脉导丝辅助下放置脐带导管。

IF 2.4 Q1 PEDIATRICS Molecular and cellular pediatrics Pub Date : 2023-03-14 DOI:10.1186/s40348-023-00155-5
Katarzyna Gendera, Stanimir Georgiev, Peter Ewert, Stefan Eckstein, Christoph Fusch, Niels Rochow
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引用次数: 0

摘要

脐带血管导管已被证明是一种有效和相对快速的方法,以获得中央血管通路在新生儿。然而,这在技术上可能很困难,手术可能持续30分钟或更长时间,并且在一些患者中可能伴有并发症。我们建议在脐带血管置管时使用冠状动脉导丝,以支持脐带导管的放置,并显著降低并发症的风险。我们在6个成功的死产仔猪出生后脐带血管插管离体实验中测试了所提出的技术。我们相信使用冠状动脉导丝作为引导工具在脐带血管置管过程中是一种快速和安全的方法。我们希望它能在降低手术并发症风险的情况下获得血管通路,这可能是危重病人的救命之恩。然而,该方法需要在新生儿的比较研究中得到验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Umbilical catheter placement aided by coronary guidewires.

Catheterization of the umbilical vessels has proven to be an effective and relatively rapid method for gaining central vascular access in neonates. However, it can be technically difficult, the procedure may last 30 min or longer, and it can be associated with complications in some patients. We suggest using a coronary guidewire during catheterization of umbilical vessels to support the placement of umbilical catheters and significantly reduce a risk for complications. We tested the proposed technique in 6 successful ex vivo bench tests of catheterization of the umbilical vessels in stillborn piglets immediately after birth. We are confident that using coronary guidewire as a guiding tool during catheterization of the umbilical vessels is a rapid and safe method. We expect that it allows to obtain a vascular access with lower risk for dangerous procedural complications, which could be a lifesaving in critically ill patients. However, the approach needs to be validated in a comparative study in neonates.

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