{"id":1658,"date":"2023-12-22T12:35:57","date_gmt":"2023-12-22T11:35:57","guid":{"rendered":"https:\/\/slf.se\/sfmr\/?page_id=1658"},"modified":"2023-12-22T12:35:58","modified_gmt":"2023-12-22T11:35:58","slug":"sven-ivar-seldinger-1921-1998","status":"publish","type":"page","link":"https:\/\/slf.se\/sfmr\/publicerat\/radiologisk-historik\/sven-ivar-seldinger-1921-1998\/","title":{"rendered":"Sven-Ivar Seldinger 1921 &#8211; 1998"},"content":{"rendered":"<div class=\"wp-block-document-related mt-8 lg:mt-12 first:mt-0 hidden:print\">\n      <div class=\"\">\n        \n        <ul class=\"space-y-4\">\n                                    <li>\n                <a\n      href=\"https:\/\/slf.se\/sfmr\/app\/uploads\/2023\/12\/Seldingerbiografi.pdf\"\n      target=\"_blank\"\n      rel=\"noopener noreferrer\"\n      class=\"font-medium lg:text-lg\"\n    ><span class=\"document__filename\">\n                                          Ladda ner en mer omfattande biografi av Ulf Nyman\n                                      <\/span><\/a>\n  \n                \n                <div class=\"mt-0.5 text-xsm text-gray-600 uppercase md:text-sm\">\n                                      <span class=\"mr-1\">\n                      pdf\n                    <\/span>\n\n                                          <span class=\"mr-1\">\u2022<\/span>\n                                      \n                                      <span>\n                      752.8 KB\n                    <\/span>\n                                  <\/div>\n              <\/li>\n                              <\/ul>\n      <\/div>\n    <\/div>\n  \n\n\n<p>&#8221;<em>Within the art and science of medicine, there are three major categories of technologic developments. First, the major breakthroughs: the stuff for which Nobel Prizes are awarded, such as Roentgen&#8217;s original discovery of X-rays; second, the major technical developments that open up completely new clinical areas, such as Forssman&#8217;s first catheterization on himself in Berlin 1929; and third, the practical maneuvers or techniques that permit the successful clinical application of the foregoing more fundamental advances. Seldinger&#8217;s contribution belongs to the third category and, like others of transcending significance, it continues to play a major role in the development of modern radiologic practice<\/em>&#8221; (1).<\/p>\n\n\n\n<p>Under ett decennium fr\u00e5n mitten p\u00e5 1940- till mitten p\u00e5 1950-talet etablerade sig Sverige som v\u00e4rldsledande i utvecklingen av angiografisk teknik och diagnostik. Bl.a. hade Radner, Lund 1947-49, introducerat kateterangiografi av bl.a. a vertebralis via fril\u00e4ggning av a radialis. Samtidigt hade Erik Lindgren, Serafimerlasarettet, etablerat perkutan carotisangiografi som rutinmetod. \u00c5ke Gidlund utvecklade injektionssprutor och Per \u00d6dman den r\u00f6ntgent\u00e4ta katetern. Filmv\u00e4xlare konstruerades i samarbete mellan svenska ingenj\u00f6rer och radiologer. Den insats som till dags dato torde ha r\u00f6nt st\u00f6rst uppm\u00e4rksamhet globalt stod den unge radiologen Sven-Ivar Seldinger f\u00f6r i sin publikation &#8221;<a href=\"https:\/\/www.sfmr.se\/Files.aspx?f_id=50596\">Catheter replacement of the needle in percutaneous arteriography &#8211; a new technique<\/a>&#8221; i Acta Radiologica 1953.<br><br>Vid denna tidpunkt skedde angiografi av nedre kroppshalvan via translumbal aortapunktion, Dos Santos 1929, eller punktion av a femoralis communis och injektion direkt p\u00e5 n\u00e5l. Kubanen Fari\u00f1as introducerade 1941 aortakatetrar genom en troakar instucken i en frilagd a femoralis. Bierman rapporterade 1951 om selektiv visceral kateterangiografi via fril\u00e4ggning av a carotis.<br><br>Som vikarierande underl\u00e4kare vid r\u00f6ntgenavdelningen, Karolinska Sjukhuset, intresserade sig Seldinger omedelbart i den angiografiska konsten och m\u00f6jligheten att g\u00f6ra kateteriseringarna mindre traumatiska och utan kirurgisk fril\u00e4ggning. Efter inledande f\u00f6rs\u00f6k med olika n\u00e5lar, katetrar och uppstyvare fick han i april 1952 vad han beskrivit som &#8221;a severe attack of common sense&#8221;. Intuitivt ins\u00e5g han i vilken ordning n\u00e5l. ledare ock kateter skulle anv\u00e4ndas f\u00f6r att minimera punktionsh\u00e5let i art\u00e4ren, &#8221;Seldingertekniken var f\u00f6dd&#8221;.<br><br>F\u00f6rutom access till k\u00e4rlbanan f\u00f6r diagnostiska angiografier, ballongangioplastik, inl\u00e4ggning av stent och stent-grafter, embolisering, cytostatikabehandling, hemodialys, etc. anv\u00e4nds tekniken ocks\u00e5 f\u00f6r interventioner i njurar och gallv\u00e4gar (dr\u00e4nage, stenextraktion, stenting), abscessdr\u00e4nage, perkutan introduktion av katetrar i mag-tarmkanalen f\u00f6r nutrition och dr\u00e4nage, etc.<br><br>Referens:<br>(1) Eisenberg RL. Radiology. An illustrated history. Mosby-Year Book Inc., St Louis1992<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8221;Within the art and science of medicine, there are three major categories of technologic developments. First, the major breakthroughs: the stuff for which Nobel Prizes are awarded, such as Roentgen&#8217;s original discovery of X-rays; second, the major technical developments that open up completely new clinical areas, such as Forssman&#8217;s first catheterization on himself in Berlin &hellip; <a href=\"https:\/\/slf.se\/sfmr\/publicerat\/radiologisk-historik\/sven-ivar-seldinger-1921-1998\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":10,"featured_media":0,"parent":154,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1658","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Svensk F\u00f6rening f\u00f6r Medicinsk Radiologi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/sfmr\/publicerat\/radiologisk-historik\/sven-ivar-seldinger-1921-1998\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sven-Ivar Seldinger 1921 - 1998 - Svensk F\u00f6rening f\u00f6r Medicinsk Radiologi\" \/>\n<meta property=\"og:description\" content=\"&#8221;Within the art and science of medicine, there are three major categories of technologic developments. 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