Real-time venography-guided extrathoracic puncture technique for cardiovascular implantable electronic device implantation

Kashiwagi, Manabu; Katayama, Yosuke; Kuroi, Akio; Taruya, Akira; Terada, Kosei; Tanimoto, Takashi; Wada, Takuya; Shimamura, Kazuo; Shiono, Yasutsugu; Kubo, Takashi; Tanaka, Atsushi

doi:10.1007/s00380-021-01885-0

Cited by 1 publication

(2 citation statements)

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“…The right anterior thoracic side was therefore selected to avoid damage to the bypass graft by extra‐thoracic puncture and a cardiovascular surgeon created a pocket, which was more lateral and caudal than usual. An extra‐thoracic puncture under real‐time venography guidance was firstly attempted prior cut‐down technique because of simple method 4 . The extra‐thoracic puncture was successful and the pacemaker was implanted.…”

Section: Case Presentationmentioning

confidence: 99%

“…She had undergone zone 1 (from innominate artery to the left carotid artery) landing TEVAR with a diagnosis of thoracic aortic aneurysm 6 years previously. 3 After bypass graft (8-mm ringed expanded polytetrafluoroethylene: ePTFE) was anastomosed 4 The extra-thoracic puncture was successful and the pacemaker was implanted. After the operation, cibenzoline and betablockers were prescribed for HOCM, and there was reduction of the pressure gradient at left ventricular outflow tract.…”

Section: Casementioning

confidence: 99%

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Transvenous permanent pacemaker implantation after debranching thoracic endovascular aortic repair; A case series

Kashiwagi,

Kuroi,

Higashimoto

et al. 2023

Pacing Clinical Electrophis

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Debranching thoracic endovascular aortic repair may disturb the implantation of a cardiac implantable electronic device in the anterior thoracic region. In case 1, the bypass graft between the right axillary artery, left axillary artery, and left common carotid artery disturbed pacemaker implantation from the left anterior thoracic region. Therefore, right‐sided implantation was selected. By contrast, in case 2, the bypass graft between axillary arteries in the anterior thoracic region was visible on fluoroscopy, and we performed conventional left‐sided pacemaker implantation with extra‐thoracic puncture. The pacemaker implantations were successful in both cases. The implantation strategies were affected by the number of debranched arteries and visibility of the bypass graft.

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Section: Case Presentationmentioning

confidence: 99%

Section: Casementioning

confidence: 99%