This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by TAKAHASHI, M. Articles by STANTON, R. E. Search for Related Content PubMed PubMed Citation Articles by TAKAHASHI, M. Articles by STANTON, R. E. Pubmed/NCBI databases Compound via MeSH Substance via MeSH Hazardous Substances DB LIDOCAINE

(Circulation. 1970;42:1037.)
© 1970 American Heart Association, Inc.

---

Percutaneous Heart Catheterization in Infants and Children

I. Catheter Placement and Manipulation with Guide Wires

MASATO TAKAHASHI M.D.¹; EUGENE L. PETRY M.D.¹; PAUL R. LURIE M.D.¹; STANLEY E. KIRKPATRICK M.D., CAPT., U.S.A.F., MC¹; ROBERT E. STANTON M.D.¹

¹ From the Division of Cardiology, Childrens Hospital of Los Angeles and the Department of Pediatrics, University of Southern California Medical School, Los Angeles, California.

This report describes in detail the materials and methods used in the authors' laboratory for percutaneous insertion of catheters and for manipulation of catheters with guide wires in infants and children. A simple thin-walled spinal needle is used to enter femoral vessels initially. Catheter insertion is effected thereafter with the sequential uses of a guide wire, a dilator, and an end-hole catheter. Insertion of two or three catheters into a single vessel may be accomplished. In infants weighing less than 20 pounds, dilation of the vascular puncture wound may be accomplished in stages. Guide wires of different configurations are used for catheter manipulation into various cardiac structures including some which are relatively inaccessible. Guide wires are also used for catheter exchange. Angiograms of high quality may be obtained safely.

Key Words: Angiography • End-hole catheters • Seldinger technic

Submitted on April 9, 1970
Accepted on August 5, 1970