A brief, but complete overview of venous sites & accesses usually performed in the cath-lab, CARDIOLOGY You can visualize the sites that can be accessed for the procedures that are leaded towards the right heart, as it is a venous access.

1. PRESENTATION
PREPARED BY SYED FAWAD SHAH
BS.CARDIOLOGY-5th SEC-B
ID # 18957
SUBT. TO SIR ABDUR REHMAN SAFI
INU Main Campus Hayatabad, Peshawar

2. Types of access points
A) On the basis of vessel type
1) Arterial Access:
Common Site
I. Femoral Artery
II. Radial Artery
III. Ulnar Artery
IV. Brachial Artery
2) Venous Access:
Common Sites
I. Femoral Vein
II. Internal Jugular Vein
III. Subclavian Vein
“Left Heart”
“Right Heart”

3. FEMORAL
ACCESS
Inferior Vena Cava
Common Iliac Vein
External Iliac Vein
Femoral Vein

5. INTERNAL JUGULAR ACCESS

7. SUBCLAVIAN
ACCESS

8. Venous Puncturing Technique
• Apparatus: A catheter introducer system consist of
1. Catheter sheath introducer (CSI) 11cm long
2. Vessel dilator  0.035 inch  long up to 15cm
3. J-shape Mini guidewire 0.035 inch thick 45cm long
4. Puncture needle 18G to 21G 7cm long
5. Scalpel
SAME KIT
( FEMORAL ) FOR
THE MENTIONED 3
VENOUS ACCESSES

9. Technique to gain access:
Steps:
1. Select and Identify vein.
2. Scrub the area with Pyodine.
3. Cover the patient.
4. Local anesthesia.
5. Flush puncture apparatus.
6. Insert the puncture needle at 30-45 degree using either of the
following technique
• Original Seldinger’s technique:
• Modified Seldinger’s technique:

10. Original Seldinger’s technique Modified Seldinger’s technique