PMID: 9558679Apr 29, 1998Paper

Subclavian venogram as a guide to lead implantation

Pacing and Clinical Electrophysiology : PACE
W H SpencerJ B Durand

Abstract

Recent reports have raised doubts regarding the safety and efficacy of the blind subclavian venipuncture technique for intracardiac lead implantation. To permit a more lateral entry, we used a simple subclavian venogram performed through the brachial vein of the ipsilateral arm of 22 consecutive unselected patients undergoing lead implantation (19 permanent pacemakers and 3 intracardiac defibrillators). A total of 35 leads were implanted (31 left pectoral and 4 right pectoral). Lead insertion by venogram technique was used successfully in all patients. Two inconsequential arterial punctures occurred. There were no pneumothoraces infections, or other complications. Lateral placement should facilitate lead manipulation and minimize "subclavian crush." The method of ipsilateral venogram guided lead insertion appears to be safe and reliable and deserves consideration in patients who require permanent lead placement via the subclavian vein approach.

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Citations

Dec 28, 2002·The American Journal of Geriatric Cardiology·Uday N Kumar, Leslie A Saxon
Aug 30, 2007·Pacing and Clinical Electrophysiology : PACE·Peter Belott
Feb 28, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Peter Belott
Jun 3, 1999·Pacing and Clinical Electrophysiology : PACE·V Parsonnet, M Roelke
Jun 23, 2007·Pacing and Clinical Electrophysiology : PACE·Ernest W Lau
Aug 24, 1999·Pacing and Clinical Electrophysiology : PACE·P H Belott
Apr 22, 2006·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·R K RiezebosW G de Voogt

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