September 24, 2014Journal of Cardiovascular Medicine
Axillary vein technique for pacemaker and implantable defibrillator leads implantation
Why the study?
Does the axillary vein puncture technique reduce acute and long-term lead complications compared to the subclavian approach in patients undergoing pacemaker or ICD implantation?
Population
Patients undergoing permanent pacemaker or implantable cardioverter defibrillator (ICD) lead implantation
Comparison
Axillary vein puncture technique vs Subclavian vein puncture technique
Design
Case_report
Authors
Discussion
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Member takes
Implication
Hypothesis-generating for axillary access in device implantation; Level 5 evidence leaves comparative safety versus subclavian open.
Structured PICO
Does the axillary vein puncture technique reduce acute and long-term lead complications compared to the subclavian approach in patients undergoing pacemaker or ICD implantation?
P
Population
Patients undergoing permanent pacemaker or implantable cardioverter defibrillator (ICD) lead implantation
I
Intervention
Axillary vein puncture technique (including modified Bellot's technique)
C
Comparator
Subclavian vein puncture technique
O
Outcome
Acute complications (pneumothorax, hemopneumothorax, brachial plexus injury) and long-term complications (lead fracture, loss of lead insulation, subclavian crush syndrome)safety
The axillary vein puncture technique may offer a safer alternative to the subclavian approach for pacemaker and ICD lead implantation, potentially reducing both acute and long-term complications.
Limitations
- Lack of randomized studies
Cite This Study
Migliore et al. (2014) studied this question.