| RESEARCH ARTICLE |
|
| Year : 2018 | Volume
: 3
| Issue : 3 | Page : 104-107 |
|
|
Safety and efficacy of a modified axillary vein technique for pacemaker implantation
Hui Yang, Hejun Jiang, Qiming Liu, Shenghua Zhou, Xuping Li, Zhenjiang Liu, Zhihong Wu, Chenlu Wu
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
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/cp.cp_21_18
|
|
|
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.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
