Yoshizato T, Hagler D J
Section of Pediatric Cardiology, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1989 Apr;64(4):387-91. doi: 10.1016/s0025-6196(12)65726-7.
In nine critically ill neonates with persistent fetal circulation, femoral venous catheters were inserted at the bedside to initiate treatment and provide venous access. After femoral vein puncture or cutdown, a 5-F sheath was placed in the inferior vena cava through the femoral vein. With use of two-dimensional echocardiographic guidance, a 5-F balloon angiographic catheter was advanced through the inferior vena cava into the right atrium and subsequently manipulated through the tricuspid valve and into the main pulmonary artery. No major complications were attributable to the procedure. When performed by a pediatric cardiologist, this technique is as safe as umbilical catheter placement.
在9例患有持续性胎儿循环的危重新生儿中，于床边插入股静脉导管以开始治疗并提供静脉通路。在股静脉穿刺或切开后，通过股静脉将一个5F鞘管置于下腔静脉。在二维超声心动图引导下，将一根5F球囊血管造影导管经下腔静脉推进至右心房，随后操纵其穿过三尖瓣进入主肺动脉。该操作未引发任何严重并发症。由儿科心脏病专家实施时，这项技术与脐静脉导管置入一样安全。
