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Safety and feasibility of unilateral double femoral venous access including double sheath insertion via a single-hole method for adrenal venous sampling.
Japanese Journal of Radiology ( IF 2.1 ) Pub Date : 2020-04-13 , DOI: 10.1007/s11604-020-00965-x Satoru Morita 1 , Takahiro Yamamoto 1 , Kumi Kamoshida 1 , Hiroshi Yamazaki 1 , Kazufumi Suzuki 1 , Midori Yatabe 2 , Atsuhiro Ichihara 2 , Shuji Sakai 1
中文翻译:
单侧双股静脉通路的安全性和可行性,包括通过单孔方法插入双鞘进行肾上腺静脉采样。
更新日期:2020-04-13
Japanese Journal of Radiology ( IF 2.1 ) Pub Date : 2020-04-13 , DOI: 10.1007/s11604-020-00965-x Satoru Morita 1 , Takahiro Yamamoto 1 , Kumi Kamoshida 1 , Hiroshi Yamazaki 1 , Kazufumi Suzuki 1 , Midori Yatabe 2 , Atsuhiro Ichihara 2 , Shuji Sakai 1
Affiliation
Purpose
To assess the safety and feasibility of unilateral double femoral venous access including double sheath insertion via a single-hole method (two-in-one method) for adrenal venous sampling (AVS).Materials and methods
Two 5-Fr sheaths were percutaneously inserted into a single femoral vein for AVS in 324 patients. Two needles were inserted sequentially in tandem under ultrasound guidance; furthermore, two sheaths were individually inserted (two-in-two method) if both punctures were successfully achieved. In the presence of a single puncture, two sheaths were inserted through two guidewires and a temporarily inserted sheath (two-in-one method). This protocol was repeated until two sheaths were successfully inserted. Thus, two sheaths were inserted with the two-in-one method in 56 patients (17.3%) and two-in-two method in 268 patients (82.7%).Results
No significant differences in the technical success rates of AVS were observed (p = 0.067–0.647). Minor groin hematoma was observed more frequently in the two-in-one than in the two-in-two method (8.9% vs. 2.6%, p = 0.039). No major groin hematoma, deep venous thrombosis, or pulmonary embolization was observed. The mean number of needle puncture was 2.5 ± 1.3 and duration of inserting two sheaths 5.1 ± 3.9 min.Conclusion
Unilateral double femoral venous access including the two-in-one method is safe and feasible for AVS.中文翻译:
单侧双股静脉通路的安全性和可行性,包括通过单孔方法插入双鞘进行肾上腺静脉采样。