Key result
A modified cephalic vein guide wire technique allowed successful implantation of permanent pacemakers in 11 patients with difficult direct cephalic vein access, with only one minor complication.
Why the study?
Does a modified cephalic vein guide wire technique enable successful permanent pacemaker implantation when direct lead passage fails?
Observational (n=11)
Does a modified cephalic vein guide wire technique enable successful permanent pacemaker implantation when direct lead passage fails?
The cephalic vein guide wire technique provides easy access to the subclavian vein and allows successful pacemaker implantation with only a cephalic vein cutdown when direct passage fails.
May facilitate cephalic cutdown implantation after failed direct access; hypothesis-generating and requires prospective validation.
This report describes a modified cephalic vein guide wire technique for the implantation of permanent pacemakers. The procedure was attempted in 11 patients only when pacing leads could not be passed directly into the exposed cephalic vein. Eight bipolar DDD (two leads), two unipolar DDD, and one bipolar VVI (one lead) pulse generators were implanted successfully, with only one relatively minor complication. The cephalic vein guide wire technique provides easy access to the subclavian vein and may allow implantation of most single- and dual-chamber pacemakers with only a cephalic vein cutdown.
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Ong et al. (1987) conducted an observational in Permanent pacemaker implantation (n=11). Modified cephalic vein guide wire technique was evaluated on Successful pacemaker implantation. A modified cephalic vein guide wire technique allowed successful implantation of permanent pacemakers in 11 patients with difficult direct cephalic vein access, with only one minor complication.
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