Key result
A step-by-step guide details an ultrasound-guided technique using short- and long-axis views combined with a twisting needle motion to maximize safety and efficiency for vascular access in CIED procedures.
Why the study?
Ultrasound guidance has increased in utilization over the past two decades as the primary method for vascular access in CIED implantation, motivating a step-by-step guide to maximize safety and efficiency.
Provides a detailed step-by-step guide for ultrasound-guided vascular access during CIED implantation to improve procedural safety and efficiency.
May improve CIED access safety; leaves open need for randomized confirmation across operators.
INTRODUCTION: Vascular access is required for most cardiac electrophysiology procedures. Over the past 2 decades, ultrasound guidance has increased in utilization as the primary method for assisting operators in gaining access to cardiac implantable electronic device (CIED) implantation. METHODS: Ultrasound guidance using a technique that includes both short-axis and long-axis views combined with a twisting needle motion after maximal tenting provides an extremely safe and reproducible technique for vascular access for all CIED procedures. RESULTS AND CONCLUSIONS: In this manuscript and accompanying videos, a step-by-step guide is explained for optimal ultrasound-guided visualization and needle maneuver technique to maximize safety and efficiency for vascular access in all CIED procedures.
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Jonathan Salcedo (2023) conducted a review in Cardiac implantable electronic device (CIED) implantation. Ultrasound-guided vascular access was evaluated. A step-by-step guide details an ultrasound-guided technique using short- and long-axis views combined with a twisting needle motion to maximize safety and efficiency for vascular access in CIED procedures.
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