Page 3 - Virtual Vascular Vol 2 Sep 2020-f

Seldinger technique
PREFACE
Preface

• Seldinger technique was introduced by Swedish

radiologist Dr Sven Ivar Seldinger in the 1950’s as a

novel technique to gain percutaneous vascular
access. The technique is pivotal in paving the way for

the subsequent development in endovascular
We have produced the second volume in what we hope would be a continuing
series in education. The format has remained largely visual, with text limited intervention

to a minimum. We have also been able to include a few video clips to provide
a true multimedia experience. • A hollow needle was used to puncture a vessel (a)
and then a metallic guide-wire was fed through the

For our medical students, remember this is not a textbook and you are not needle and advanced further into the vessel (b). The
required to memorize every bit of detail and reproduce them in examinations. needle was then removed (c) with a catheter or
The goal has always been to broaden your exposure to mimic an actual clinical sheath advanced into the vessel over the wire, using
experience with actual signs and images of existing patients. We tried to put in

a good mix of common vascular problem and some rarely seen, but the wire as a support (d). Endovascular intervention
nevertheless interesting clinical conditions. may then be performed via the sheath as a platform.

We also hope that this will prove to be a useful adjunct to our surgical trainees • The technique has also been extended to gain
who had not had the chance to rotate to our division. percutaneous access to other cavities such as

abscess or renal pelvis

Stephen Cheng
Head, Department of Surgery

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