A safe and simple technique for exchanging central venous catheters.

Shimada, M; Matsumata, T; Wakiyama, S; Maeda, T; Kanematsu, T; Sugimachi, K · Postgrad Med J · 1993

Level V

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Abstract

A safe and simple technique for exchanging central venous catheters is herein described. Our technique is based on a modification of Seldinger's method, in which a new outer sheath is introduced over the previous catheter as a guidewire in order to simplify the exchange of central venous catheters. This technique can be successfully performed by new residents and can be applied to the exchange of clotted catheters.

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