Utility and safety of axillo-subclavian venous imaging with carbon dioxide (CO) prior to chronic lead system revisions

Pacing and Clinical Electrophysiology : PACE
Stephen L WintersKaren Quinlan

Abstract

Prior to attempting placement of one or more electrodes to revise existing rhythm control devices, patency of the central veins should be documented, in view of a high incidence of significant chronic occlusions. Since iodinated contrast venography may be contraindicated in select situations, imaging of the axillo-subclavian venous system with gaseous carbon dioxide (CO(2)) was evaluated prospectively in 23 consecutive individuals who were considered for revision of previously implanted pacemaker or automatic cardioverter defibrillator lead systems. Approximately 20 mL of CO(2) were manually infused via CO(2) primed injection tubing into a vein at or above the level of the antecubital fossa ipsilateral to the side of prior lead placements. Digital subtraction imaging over the axillo-subclavian region, lower neck, and mediastinum was performed. Formal interpretation was obtained from one of three interventional radiologists and at least one electrophysiologist. Significant venous occlusions were identified in five (22%) patients. Vascular access utilized for the subsequent 18 revisions performed included the imaged patent ipsilateral vein in 14 patients and the contralateral, right-sided subclavian venous system in three patient...Continue Reading

References

Mar 1, 1995·AJR. American Journal of Roentgenology·S R Kerns, I F Hawkins
Jun 20, 1998·Pacing and Clinical Electrophysiology : PACE·Y GotoT Sakurada
Jan 23, 1999·Pacing and Clinical Electrophysiology : PACE·M ZuberK Jäger
Oct 17, 2002·Pacing and Clinical Electrophysiology : PACE·Sergio Sidney do Carmo Da CostaMartino Martinelli Filho
Dec 24, 2002·Pacing and Clinical Electrophysiology : PACE·Yasushi OginosawaYasuhide Nakashima
Jul 25, 2003·Pacing and Clinical Electrophysiology : PACE·Frank BrackeBerry Van Gelder
Dec 31, 2003·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·Lars LickfettBerndt Lüderitz
Jun 25, 2005·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Grzegorz RozmusCharles Francis
Aug 25, 2006·Radiology·Sam HeyeGuy J Marchal

❮ Previous
Next ❯

Citations

Oct 31, 2017·World Journal of Cardiology·Fahad AliEdo Kaluski

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.