Sven-Ivar Seldinger

Sven-Ivar Seldinger (1921-1998) 2

Sven-Ivar Seldinger (1921-1998) was a Swedish Radiologist.

Best remembered for developing the Seldinger Technique a technique for safe percutaneous access to vessels and hollow organs that is widely used today. Seldinger is regarded as a forefather of interventional radiology

Using the technique, Seldinger pioneered a number of procedures including percutaneous transhepatic cholangiography.


Biography
  • Born on April 19, 1921 in Mora, Sweden to a family renown for making the famous Mora clocks.
  • 1940-1948 studied medicine at the Karolinska Institute in Stockholm
  • Karolinska hospital where he started his residence in Radiology and stayed until 1966.
  • During this period he was introduced to angiography and developed the Seldinger technique as we know it today.
  • After a short stint in academia and teaching in Gothenburg he returned to his home town Mora as head of the Department of Radiology
  • 1984 – Honorary Doctor of the Faculty of Medicine, Uppsala University
  • 1986 – Retired from medical practice.
  • Died on February 21, 1998 in Dalecarlia, Sweden

Medical Eponyms
Seldinger Technique (1953)

An over-wire technique of catheter insertion to obtain safe percutaneous access to vessels and hollow organs.

Sven Ivar Seldinger published his pioneering technique for achieving percutaneous vascular access in Acta Radiologica in 1953. Seldinger introduced the use of a flexible, round-ended wire to facilitate catheter insertion, was a substantial refinement to the previously accepted practice that had been described in 1941 by Pedro L. Fariñas (1892–1951).

Originally Seldinger modified a technique devised by 1956 Nobel prize winner André Frédéric Cournand (1895-1988) who developed cardiac catheterization. Following further failed modification using a piano wire to stiffen the tube, Seldinger was left with the three essential components; a needle, a wire and polyethylene tube.

In April 1952 he was hit by a…

sudden attack of common sense and knew what to do: needle in, guide-wire in through the needle, needle out, catheter in over the wire and finally removal of the guide wire

Seldinger 1952
Seldinger technique 1953 the equipment

Fig. 1. The equipment. The stilette is removed and the leader
inserted through the needle (top) and the catheter (bottom).

The artery exposure technique of catheterization is time-consuming, troublesome and may present certain risks.

There is a simple method, however, of using a catheter the same size as the needle, and which has been used at Karolinska Sjukhuset since April 1952. The main principle consists in the catheter being introduced on a flexible leader through the puncture hole after withdrawal of the puncture needle

Seldinger 1953
Seldinger technique 1953 Sven-Ivan Seldinger 2

Fig. 2. Diagram of the technique. a) The artery punctured. The needle pushed upwards. b) The leader inserted. c) The needle withdrawn and the artery compressed, d) The catheter threaded on to the leader. e) The catheter inserted into the artery. f) The leader withdrawn Seldinger 1953

Seldinger used his new technique to pioneer several new procedures including localization of parathyroid adenoma by arteriography; selective renal angiography; puncture of bile ducts for cholangiography and puncture of the liver and spleen for portal venography.


Major Publications

References

Biography

Eponymous terms


Cite this article as: Abdullah Shehzad and Mike Cadogan, "Sven-Ivar Seldinger," In: LITFL - Life in the FastLane, Accessed on August 15, 2022, https://litfl.com/sven-ivar-seldinger/.

eponym

the person behind the name

Resident Medical Officer currently working in Emergency Department at Sir Charles Gairdner Hospital. Pianist and avid Golfer  | LinkedIn |

Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

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