{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:05:25Z","timestamp":1780758325396,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T00:00:00Z","timestamp":1582934400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Childrens Mercy Hospital"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the outer diameter (OD) of conventional and radial sheaths from different manufacturers for sizes typically used in infant catheterization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The smallest sheath size is recommended to minimize risk of arterial injury in infants. However, sheath size refers to its internal diameter (ID), but it is the larger OD that determines risk. The OD varies between manufacturers and is frequently not known to the end user.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three authors measured the OD of 3, 3.3, 4, 5, and 6 French (Fr) sheaths from different manufacturers using a Mitutoyo digital micrometer. Continuous variables are reported as mean\u2009\u00b1\u2009<jats:italic>SD<\/jats:italic>. The midshaft and proximal\u2010shaft sheath measurements were compared using an independent samples <jats:italic>t<\/jats:italic> test. Agreement between author measurements was tested using intra\u2010 and inter\u2010rater reliability analysis. Manufacturer sheath OD measurements were obtained. Statistical significance was set at <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no difference in the measured sheath diameters at the midpoint and proximally (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). The intra\u2010rater and inter\u2010rater reliability were excellent (Intraclass correlation coefficient 1.0). Among conventional sheaths the OD varied between manufacturers, Terumo sheaths had the smallest and Galt sheaths had the largest OD. Radial sheaths had the smallest OD (1 Fr smaller) when compared to similar sized conventional sheaths. For instance, the OD of 4 Fr radial sheath (1.610\u2009\u00b1\u20090.006\u2009mm) is essentially the same as the OD of the conventional 3 Fr (1.644\u2009\u00b1\u20090.016\u2009mm) and 3.3 Fr (1.635\u2009\u00b1\u20090.005\u2009mm) sheaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study shows variation in the OD of sheaths used in infant catheterization. The radial sheaths offer the smallest OD across sizes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28825","type":"journal-article","created":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T12:43:33Z","timestamp":1582980213000},"page":"620-625","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Variation in the outer diameter of vascular sheaths commonly used in infant cardiac catheterization"],"prefix":"10.1002","volume":"96","author":[{"given":"Christopher","family":"Mathis","sequence":"first","affiliation":[{"name":"Pediatric Cardiology, Ward Family Heart Center Children's Mercy Hospital  Kanas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6866-8531","authenticated-orcid":false,"given":"Ryan","family":"Romans","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, Ward Family Heart Center Children's Mercy Hospital  Kanas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1554-6554","authenticated-orcid":false,"given":"Abhay","family":"Divekar","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, Ward Family Heart Center Children's Mercy Hospital  Kanas City Missouri USA"},{"name":"Rocky Mountain Pediatric Cardiology  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26702"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24737"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2014-306713"},{"key":"e_1_2_7_5_1","unstructured":"FlemingGA BagaiJ LatifF. Femoral artery injury following cardiac catheterization in pediatric patients. Pediatric Quality Improvement Toolkit SCAI.http:\/\/www.scai.org\/QITTip\/femoral-artery-injury-following-cardiac-catheterization. Accessed February 2 2020."},{"key":"e_1_2_7_6_1","unstructured":"ForbesT KobayashiD MooreP NykanenD. Femoral artery compromise from cardiac catheterization in children\u2014a multicenter study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). Presented at: The 2014 SCAI Annual Meeting. May 28\u201031 2014; Las Vegas NV. Abstract O1\u2010002."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJY14M09_09"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(199902)46:2<173::AID-CCD12>3.0.CO;2-4"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25232"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26773"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.11.1350"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-015-0344-2"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.28825","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28825","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.28825","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28825","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T00:30:07Z","timestamp":1693960207000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.28825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,29]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1002\/ccd.28825"],"URL":"https:\/\/doi.org\/10.1002\/ccd.28825","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,29]]},"assertion":[{"value":"2019-02-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}