Key result
The extrathoracic subclavian venous approach for endocardial pacing lead implantation demonstrated excellent long-term lead survival, with rates of 100% at 5 years and 98.3% at 7 years.
Why the study?
Does the extrathoracic subclavian venous approach improve long-term survival of endocardial pacing leads in patients requiring pacing?
Cohort (n=309)
Does the extrathoracic subclavian venous approach improve long-term survival of endocardial pacing leads in patients requiring pacing?
The extrathoracic subclavian venous approach for pacing lead implantation demonstrates excellent long-term lead survival, potentially reducing the incidence of lead failure.
May support extrathoracic subclavian approach for pacing leads; hypothesis-generating pending randomized confirmation.
The extrathoracic subclavian venous approach is a new approach with the aim to exclude the disadvantages of the conventional subclavian venous approach that carries a risk of pneumothorax and may result in lead damage. We investigated long‐term survival of the leads implanted by this new approach between May 1995 and June 2005. A total of 482 leads implanted in 309 patients were analyzed. In cases of patient death, meeting criteria for lead failure or difficulty of continuing follow‐up for other reasons, the follow‐up was terminated at that time. Therefore, the follow‐up was complete for 358 leads (74.3%) and the mean followup time was 55.0 ± 32.1 months (range 1–122 months). The overall lead survival rate was 100% at 5 years and 98.3% at 7 years. This finding suggested that this approach might reduce the incidence of lead failure.
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Ohnuki et al. (2006) conducted a cohort in Endocardial pacing lead implantation (n=309). Extrathoracic subclavian venous approach was evaluated on Long-term lead survival. The extrathoracic subclavian venous approach for endocardial pacing lead implantation demonstrated excellent long-term lead survival, with rates of 100% at 5 years and 98.3% at 7 years.
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