Gendera Katarzyna, Georgiev Stanimir, Ewert Peter, Eckstein Stefan, Fusch Christoph, Rochow Niels
Department of Pediatric Cardiology and Congenital Heart Defects, German Heart Center Munich, Technische Universität München, Munich, Germany.
Eckstein Design, Munich, Germany.
Mol Cell Pediatr. 2023 Mar 14;10(1):1. doi: 10.1186/s40348-023-00155-5.
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.
脐血管插管已被证明是一种在新生儿中获得中心血管通路的有效且相对快速的方法。然而，该操作在技术上可能具有挑战性，过程可能持续30分钟或更长时间，并且在某些患者中可能会出现并发症。我们建议在脐血管插管过程中使用冠状动脉导丝来辅助脐导管的放置，并显著降低并发症的风险。我们在6例成功的离体试验中对该技术进行了测试，即在出生后立即对死产仔猪进行脐血管插管。我们相信，在脐血管插管过程中使用冠状动脉导丝作为引导工具是一种快速且安全的方法。我们预计它能够以较低的危险操作并发症风险获得血管通路，这对于危重症患者可能是救命的。然而，该方法需要在新生儿的比较研究中进行验证。
