Key result
Fluoroscopy-guided axillary vein puncture was successful in 92.3% of patients (97% after excluding anatomical abnormalities) with no immediate complications such as pneumothorax or hemothorax.
Why the study?
Does fluoroscopy-guided axillary vein puncture provide a safe and successful method for venous access to prevent acute complications during pacemaker, defibrillator, and CRT lead insertion?
Observational (n=261)
No
Does fluoroscopy-guided axillary vein puncture provide a safe and successful method for venous access to prevent acute complications during pacemaker, defibrillator, and CRT lead insertion?
Fluoroscopy-guided axillary vein puncture is a highly successful and safe alternative for cardiac device lead insertion, effectively avoiding acute complications like pneumothorax.
May safely facilitate device lead insertion without pneumothorax; leaves open randomized comparison to subclavian access.
The subclavian venous approach is a widely used method for venous access in device implantation and is associated with pneumothorax as a short term complication and lead fracture as a long term complication. The axillary vein approach is an alternate method for venous access, and this study evaluates the successfulness and immediate complications of fluoroscopy-guided axillary vein puncture compared to other venous approach methods.
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E.M. Malitha S. Hettiarachchi (2014) conducted an observational in Pacemaker, defibrillator implant, or lead change (n=261). Fluoroscopy-guided axillary vein puncture vs. Subclavian or cephalic access was evaluated on Success rate of axillary vein puncture. Fluoroscopy-guided axillary vein puncture was successful in 92.3% of patients (97% after excluding anatomical abnormalities) with no immediate complications such as pneumothorax or hemothorax.
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