Subclavian Vein catheterization_Seldinger Vs Modified Seldinger
Conditions
Brain Neoplasm - Intracranial Aneurysm - Cerebrovascular Moyamoya Disease
Conditions: official terms
Brain Neoplasms - Intracranial Aneurysm - Moyamoya Disease
Study Type
Interventional
Study Phase
N/A
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Prevention
Intervention
Name: Seldinger technique Type: Procedure
Name: Modified Seldinger technique Type: Procedure
Overall Status
Recruiting
Summary
Seldinger technique is a minimally invasive technique in which the practitioner accesses the target vessel with a small bore needle, then dilates to the size required for the catheter. Contrarily, modified Seldinger technique(guiding sheath-over-the-needle technique) use needle that is covered with guiding sheath.

Both technique is widely used in central venous catheterization, however, few researches have been investigated to compare success rate or complications of both methods.
Detailed Description
The major complications of central venous catheterization through subclavian vein, are unintended arterial puncture, pneumothorax, hemothorax, malposition of catheter etc,. We assume that using modified Seldinger technique (MST), guiding sheath is easily slid over the needle, providing stable route into the vessel lumen relatively.

We aimed to compare the Seldinger technique and modified Seldinger technique(MST) on success rate and complications during subclavian central venous catheterization in this prospective, randomized , controlled trials.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: 80 Years
Minimum Age: 20 Years
Gender: Both
Criteria: Inclusion Criteria:

- patient scheduled for surgery under genearl anesthesia and subclavian vein central catheterization

Exclusion Criteria:

- Patient who does not agree to the study

- Inflammation or infection on catheterization site

- Contralateral diaphragmatic dysfunction

- Anatomic anomalies of subclavian artery or vein/clavicle

- Previous lung surgical history

- Patient who has ventriculoperitoneal shunt or chemoport on same side

- Patient who has pneumo/hemothorax or lung parenchymal disease
Location
Seoul National University of Hospital
Seoul, Korea, Republic of
Status: Recruiting
Contact: Hee Pyung Park, MD PhD - 82-2-2072-2466 - hppark@snu.ac.kr
Start Date
April 2014
Sponsors
Seoul National University Hospital
Source
Seoul National University Hospital
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page