The road less travelled: percutaneous closure of a secundum atrial septal defect through the left internal jugular vein

Shibbani, Kamel; Nijres, Bassel Mohammad; Aldoss, Osamah

doi:10.1017/s1047951121001335

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…There are times when patients need femoral and RIJ access. Internal jugular access has been used to place septal occluders in the atrial septum [1,2] and even to perform pulmonary valvuloplasty in small patients [3,4]. Maintaining a sterile field with access into the neck can be complicated by not having a sterile field beyond the patients head and anesthesia checking on the patient from time to time.…”

Section: Introduction/backgroundmentioning

confidence: 99%

Improving the Way Catheterizations Are Performed From the Neck

2022

Ann Case Report

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Background: A focus on patient protection is a priority for all physicians when patients need to be treated using ionizing radiation. Countless publications report on these risks. Aims: What about our intervention lists; they are exposed and work tirelessly without concern for what they are enduring to care and protect their patient. How can we improve their longevity and exposure? Methods: Discussions with Radux to modify the Stand Tall allowing use in pediatrics. Once approved these were added to procedures at Children's Wisconsin. Attachment to the sheath that were placed in the neck and or the groin to evaluate. Results: Improved physician positioning and posture results in improved wellbeing along with improving care for patients with sterility of neck access. Conclusions: Standing up straighter, further from the scatter, secured to table for patient protection, and improved sterility for jugular access are all possible with the Stand Tall added to the access site(s). Customizable too many scenarios without increased risk to the patient.

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