METHOD FOR CATHETERIZATION OF RIGHT ATRIUM AND SUPERIOR VENA CAVA IN CHILDREN WITH THROMBOSIS OF CENTRAL SUPPLIES OF SUPERIOR VENA CAVA SYSTEM

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, in particular to endovascular methods of diagnosis and treatment, cardiovascular surgery, pediatric surgery, anesthesiology and resuscitation. Perform puncturing or venesection of the neck of the vessel and pass guidewire through the intact veins of the neck. In this case, prior to catheterization, digital subtraction phlebography of the neck and chest is performed; on the basis of the phlebography data, guidewires are passed through the collateral veins under fluoroscopic control into the superior vena cava or right atrium. Then, intravascular dilators and a catheter are inserted along the established conductors. X-ray instruments are used as conductors, and the position of the distal end of the catheter is confirmed according to the control phlebography and echocardiography.;EFFECT: method allows to reduce the traumatic manipulation, due to the minimally invasive effect and to carry out catheterization of the superior vena cava or right atrium, in conditions of exhausted venous access, severe condition in children.;1 cl, 1 ex