Why the study?
Does the double target-guided venipuncture method allow safe and effective placement of pacemaker leads for CRT in the axillary vein?
Does the double target-guided venipuncture method allow safe and effective placement of pacemaker leads for CRT in the axillary vein?
The double target-guided venipuncture method provides a safe and effective approach for extrathoracic venous access during CRT lead placement.
Supports feasibility of double target-guided venipuncture for CRT leads; hypothesis-generating and requires prospective validation.
Background: The increasing incidence of damage to pacemaker leads for cardiac resynchronization therapy (CRT. is an emerging problem that should be prevented. The extrathoracic venipuncture approach has been suggested as a technique for venous access to avoid the problem. Methods and Results: 10 patients had pacemaker lead placement for CRT using the double target method. The lead was inserted in the extrathoracic portion of the subclavian and/or axillary veins without complications in all of the patients. Conclusion: This approach achieves accurate, safe, and speedy extrathoracic venipuncture and is especially suitable for multiple lead placements for CRT.
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Kawakami et al. (2006) studied this question.
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