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Ann Thorac Surg 2009;88:2050-2051. doi:10.1016/j.athoracsur.2009.03.063
© 2009 The Society of Thoracic Surgeons
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Lucas H.A. Sanders
Jacques P.A.M. Schönberger
Jaffar Shehatha
Mark A.J. Newman
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How To Do It

Use of the Seldinger Type Movement Over a J-Shaped Stylet for Left Ventricular Vent Insertion

Lucas H.A. Sanders, MD, FRACSa,b,*, Weiwen Chen, MDb, Jacques P.A.M. Schönberger, MD, PhDa, Jaffar Shehatha, MD, FRCSb, Mark A.J. Newman, MD, FRACSb

a Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, the Netherlands
b Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, Perth, Australia

Accepted for publication March 20, 2009.

* Address correspondence to Dr Sanders, Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, Perth, Australia, Hospital Ave, Perth, WA 6009, Australia (Email: lucmedi{at}hotmail.com).

Access through the right superior pulmonary vein is a commonly used route for left ventricular vent insertion. Complex reshaping of the stylet and vent into a certain position or external guidance do not guarantee successful placement. In this article we describe a modified technique where the stylet sets up the position to allow consistent atraumatic advancement of the catheter across the mitral valve.






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