Endocardial pacing: a percutaneous method using the subclavian vein.

Vellani, C W; Tildesley, G.; Davies, L. G.

doi:10.1136/hrt.31.1.106

Cited by 32 publications

(13 citation statements)

References 17 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The risk of accident with the subclavian route is increased in patients with neck and shoulder generative joint disease (16), obesity, cachexia and chest wall deformities (17), and scoliosis (18). Obviously, the procedure is often risky in the uncooperative patient, and always so when performed by the unsupervised inexperienced physician.…”

Section: Discussionmentioning

confidence: 98%

Choice of route for central venous cannulation: Subclavian or internal jugular vein? A prospective randomized study

Kaiser

Koornick

Smith

et al. 1981

Journal of Surgical Oncology

View full text Add to dashboard Cite

The clinical need for central venous cannulation has been well established. The usual route for catheter placement is by either the subclavian or internal jugular vein. No randomized, prospective evaluation has been yet conducted to determine which of these approaches, if either, is better with respect to reliability, placement, and frequency of nonseptic complications. One hundred consecutive patients requiring elective central venous cannulation were randomized to either the subclavian or internal jugular route. Successful venipuncture and catheter passage were significantly more common with the subclavian route, and in the absence of special clinical situations, it appears to be the route of choice.

show abstract

Section: Discussionmentioning

confidence: 98%

Choice of route for central venous cannulation: Subclavian or internal jugular vein? A prospective randomized study

Kaiser

Koornick

Smith

et al. 1981

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

“…The venepuncture is easy and carries very little risk, but the vein has to be ligated after introducing the pacing catheter and the arm has to be strapped to the side of the chest as long as the pacing catheter is in situ to avoid displacement of the catheter tip, causing inconvenience and discomfort to the patient. Thrombophlebitis at the site of entry at the elbow has been described (Vellani et al, 1969). In this method the catheter must be withdrawn from the cubital vein to the axilla during implantation, whereas with the subclavian technique this is not necessary and implantation is easier.…”

Section: Discussionmentioning

confidence: 99%

“…The external jugular vein is also easily accessible, but difficulty in advancing the catheter is often encountered (Gordon, 1965;Vellani et al, 1969). The catheter when introduced through this vein is acutely angled in the neck and frequently erodes through the skin.…”

Section: Discussionmentioning

confidence: 99%

Permanent cardiac pacing through the subclavian vein

Jachuck

Gill

Petty

1974

Journal of British Surgery

View full text Add to dashboard Cite

A technique for the insertion of an intracardiac electrode through the subclavian vein and implanting the generator in the axilla for permanent endocardia1 pacing is described in 30 patients. Provided that adequate precautions are taken and the procedure is carried out by experienced personnel, complications are uncommon.The generator is implanted after the pacing threshold has been found to be satisfactorily stable. Drainage is not used and routine antibiotics are not given to any patient unless secondary infection of the wound complicates the procedure. Advantages of this technique over the other conventional methods are described.TRANSVENOUS intracardiac pacing has become an established therapeutic measure in the treatment of complete heart block causing Stokes-Adams attacks and congestive cardiac failure (Siddons and Sowton, 1968), in sinus node disease (Reid et al., 1973) and in some cardiac dysrhythmias (Sowton, 1968). At present more than 1800 patients in Britain have implantable mercury-cell pacemakers (Leading Article, 1971). The femoral, cubital, cephalic, external jugular and subclavian veins have been used to introduce the pacing catheter. Each route has its limitations and it is the purpose of this paper to describe the method and value of using the subclavian vein. Patients and methodsPermanent transvenous intracardiac pacing was carried out in 30 consecutive patients suffering from Stokes-Adams attacks due to complete heart block. The age of the patients varied from 46 to 88 years (18 males and 12 females). The pacing catheter was introduced through the subclavian vein by a percutaneous technique and the pacemaker was implanted in the axilla. Postoperative follow-up studies range from 18 to 47 months. The method of venepuncture and the procedure of implantation are described below.

show abstract

“…Fix the catheter in place. Subcutaneous fixation is easier to perform in the pectoral region than in the neck region (Vellani et al, 1969).…”

Section: Step-by-step Proceduresmentioning

confidence: 99%

“…A chylothorax mostly occurs on the left side (Vellani et al, 1969;Moosman, 1973;Hegarthy, 1977). The thoracic duct drains into the left SCV where it is joined by the IJV to form the brachiocephalic vein.…”

Section: Chylothoraxmentioning

confidence: 99%

Central venous catheterization—An anatomical review of a clinical skill—Part 1: Subclavian vein via the infraclavicular approach

et al. 2007

View full text Add to dashboard Cite

The safe and successful performance of a central venous catheterization (CVC) requires a specific knowledge of anatomy in addition to a working knowledge. Misunderstanding the anatomy may result in failure or complications. This review aims to aid understanding of the anatomical framework, pitfalls, and complications of CVC of the subclavian (SCV). CVC is common practice amongst surgeons, anesthesiologists, and emergency room physicians during the preparations for major surgical procedures such as open-heart surgery, as well as, for intensive care monitoring and rapid restoration of blood volume. Associated with this technique are certain anatomical pitfalls and complications that can be successfully avoided if one possesses a thorough knowledge of the contraindications, regional anatomy, and rationale of the technique.

show abstract

Endocardial pacing: a percutaneous method using the subclavian vein.

Cited by 32 publications

References 17 publications

Choice of route for central venous cannulation: Subclavian or internal jugular vein? A prospective randomized study

Choice of route for central venous cannulation: Subclavian or internal jugular vein? A prospective randomized study

Permanent cardiac pacing through the subclavian vein

Central venous catheterization—An anatomical review of a clinical skill—Part 1: Subclavian vein via the infraclavicular approach

Contact Info

Product

Resources

About