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RESEARCH ARTICLE
Year : 2018  |  Volume : 3  |  Issue : 3  |  Page : 104-107

Safety and efficacy of a modified axillary vein technique for pacemaker implantation


Department of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China

Correspondence Address:
Shenghua Zhou
Department of Cardiology, The Second Xiangya Hospital of Central South University, Renmin Road, No. 139, Changsha, Hunan
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cp.cp_21_18

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Context: Axillary vein puncture is an alternative method for pacemaker leads implantation. However, the safety and effectiveness of axillary vein puncture become an issue for debate now. Aims: The aim of this study was to investigate the safety, feasibility, and efficacy of a modified axillary vein technique for pacemaker implantation. Settings and Design: This modified axillary vein technique refers to a novel axillary vein puncture method combined with caudal 35° fluoroscopy and surface anatomic landmarks including deltopectoral groove, coracoid process, and the first rib. Subjects and Methods: This technique was applied to 139 consecutive patients referred for pacemaker implantation between March 1, 2016, and December 31, 2016, at our department. Statistical Analysis Used: None. Results: Success rate of pacemaker implantation was 96.4% (134/139). Five patients (3.60%) were switched to an alternate approach for leads implantation. There were no procedure-related complications such as pneumothorax, hemopneumothorax, major bleeding, and significant pocket hematoma. Conclusion: This modified axillary vein puncture strategy combining caudal 35° fluoroscopy and surface anatomic landmarks is safe and feasible for pacemaker implantation.


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