2014
DOI: 10.4172/2329-9517.1000136
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Fluoroscopy-Guided Axillary Vein Puncture, a Reliable Method to Prevent Acute Complications Associated With Pacemaker, Defibrillator, and Cardiac Resynchronization Therapy Leads Insertion

Abstract: Introduction: The subclavian venous approach is a widely used method for venous access in device implantation and is associated with pneumothorax as a short term complication and lead fracture as a long term complication. The axillary vein approach is an alternate method for venous access, and this study evaluates the successfulness and immediate complications of fluoroscopy-guided axillary vein puncture compared to other venous approach methods.Methods: This is a retrospective observational study on all patie… Show more

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Cited by 4 publications
(3 citation statements)
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“…Many techniques have been utilized for venous access during the placement of cardiac implantable electronic devices (CIEDs) . Over the past several years, practice has shifted from subclavian access to axillary vein access . While advances in sheaths, lead design, and anatomic access site have gradually improved the safety and efficacy of implantation, periprocedural risks and complications persist.…”
Section: Introductionmentioning
confidence: 99%
“…Many techniques have been utilized for venous access during the placement of cardiac implantable electronic devices (CIEDs) . Over the past several years, practice has shifted from subclavian access to axillary vein access . While advances in sheaths, lead design, and anatomic access site have gradually improved the safety and efficacy of implantation, periprocedural risks and complications persist.…”
Section: Introductionmentioning
confidence: 99%
“…Destacamos la baja incidencia de neumotórax como complicación de esta técnica (0,39% de los procedimientos). De cualquier manera, actualmente estamos protocolizando la punción axilar guiada por radioscopia, dados los beneficios potenciales que han sido reportados con esta técnica (12) .…”
Section: Discussionunclassified
“…The third method used for venous access is axillary vein puncture. This approach is not used often due to fear of pneumothorax, but for an experienced operator, who knows the regional anatomy well, this should be the method of choice [11,12,13]. Considering these facts, cephalic vein cut-down is preferred to subclavian or axillary vein puncture as the venous access in most medical centers, but whenever the cephalic vein cannot be found, or it is too small and thin, puncturing of the subclavian or the axillary vein must be done.…”
Section: Discussionmentioning
confidence: 99%