Why the study?
Does a blind venous stick using the deltopectoral groove landmark allow successful axillary venous access in patients undergoing pacemaker and ICD procedures?
Does a blind venous stick using the deltopectoral groove landmark allow successful axillary venous access in patients undergoing pacemaker and ICD procedures?
A blind venous stick using the deltopectoral groove is a highly successful and simple technique for axillary venous access during pacemaker and ICD procedures.
Supports blind deltopectoral axillary access feasibility in device procedures; hypothesis-generating and requires prospective validation.
The axillary vein has been suggested as an alternate site for venous access to avoid the "subclavian crush phenomenon. " Many techniques have been used to access this structure. They include complicated anatomical landmarks, contrast venography, Doppler, and ultrasound. A simple technique using the basic anatomical landmark of the deltopectoral groove and a blind venous stick has been used successfully in 165 of 168 consecutive pacemaker and ICD procedures; there were only three failures. These required an alternate approach. With a thorough knowledge of the regional anatomy, the axillary vein can be safely used as a primary site of venous access.
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Peter H. Belott (1999) studied this question.
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