Why the study?
Small series showed cardiac resynchronisation therapy could be achieved using exclusively cephalic venous access, but whether this method is suitable for widespread use was unknown.
Does exclusively cephalic venous access improve procedural outcomes and reduce complications compared to non-cephalic access in patients undergoing CRT device implantation?
Does exclusively cephalic venous access improve procedural outcomes and reduce complications compared to non-cephalic access in patients undergoing CRT device implantation?
Exclusively cephalic venous access for CRT implantation is feasible in the majority of cases and is associated with shorter procedure times and fewer complications compared to non-cephalic approaches.
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Cephalic access alone supports CRT implantation in most patients; extends small series but leaves open randomized comparison to subclavian routes.
Harding et al. (2020) studied this question.
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