Body mass index is related to unsuccessful puncture attempts and failure to axillary vein cannulation during ultrasound-guided cardiac electronic device implantation.
Axillary vein cannulation
BMI
CIED procedures
Pacemaker
Ultrasound-guided cannulation
Vascular complications
Journal
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
ISSN: 1572-8595
Titre abrégé: J Interv Card Electrophysiol
Pays: Netherlands
ID NLM: 9708966
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
17
04
2020
accepted:
09
06
2020
pubmed:
24
6
2020
medline:
19
8
2021
entrez:
24
6
2020
Statut:
ppublish
Résumé
Ultrasound (US)-guided axillary vein cannulation is effective and safe during cardiac implantable electronic devices (CIEDs). It is a reasonable alternative to other techniques in order to shorten procedural time and decrease perioperative complications. However, in this context, the short-axis (out-of-plane) visualization to guide the vein puncture is the most used technique. The aim of our study is to describe a single-center experience with the US long-axis (in-plane) technique defining predictors of unsuccessful puncture attempts and failure to axillary vein cannulation in a cohort of patients undergoing CIEDs procedures. From November 2017 to June 2019, consecutive patients undergoing CIEDs procedures were enrolled in the study. US-guided long axis (in-plane) view to guide axillary vein cannulation was used in all subjects. Unsuccessful puncture attempts (UAs) and complete failures to cannulate the vein were collected for each procedure. All patients were evaluated on a daily basis until hospital discharge and at 1-month follow up visit. Among 119 subjects (M: F = 75:44), mean age was 79 ± 9 years, mean BMI 25.7 ± 4.3 kg/m Axillary vein long-axis (in-plane) US-guided cannulation during CIEDs implantation is characterized by a high success rate (94.9%). An elevated BMI is significantly related to unsuccessful puncture attempts or failure to cannulation. The higher is the BMI, the more are the chances to have difficult vein puncture or cannulation failure and to switch from US-guided approach to another technique.
Identifiants
pubmed: 32572722
doi: 10.1007/s10840-020-00800-3
pii: 10.1007/s10840-020-00800-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
253-259Informations de copyright
© 2020. Springer Science+Business Media, LLC, part of Springer Nature.
Références
Greenspon AJ, Patel JD, Lau E, Ochoa JA, Ho RT, Pavri BB, et al. Trends in permanent pacemaker implantation in the United States from 1993 to 2009 increasing complexity of patients and procedures. J Am Coll Cardiol. 2012;60:1540–5.
doi: 10.1016/j.jacc.2012.07.017
Bongiorni MG, Proclemer A, Dobreanu D, Marinskis G, Pison L, Blomstrom-Lundqvist C. Preferred tools and techniques for implantation of cardiac electronic devices in Europe: results of the European heart rhythm association survey. Europace. 2013;15:1664–8.
doi: 10.1093/europace/eut345
Sharma G, Senguttuvan NB, Thachil A, Leong D, Naik N, Yadav R, et al. A comparison of lead placement through the subclavian vein technique with fluoroscopy-guided axillary vein technique for permanent pacemaker insertion. Can J Cardiol. 2012;28:542–6.
doi: 10.1016/j.cjca.2012.02.019
Seto AH, Jolly A, Salcedo J. Ultrasound-guided venous access for pacemakers and defibrillators. J Cardiovasc Electrophysiol. 2013;24:370–4.
doi: 10.1111/jce.12005
Antonelli D, Feldman A, Freedberg NA, Turgeman Y. Axillary vein puncture without contrast venography. Pacing Clin Electrophysiol. 2013;36:1107–10.
doi: 10.1111/pace.12181
Migliore F, Siciliano M, De Lazzari M, Ferretto S, Dalla Valle C, Zorzi A, et al. Axillary vein puncture using fluoroscopic landmarks: a safe and effective approach for implantable cardioverter defibrillator leads. J Interv Card Electrophysiol. 2015;43:263–7.
doi: 10.1007/s10840-015-0011-7
Chan NY, Kwong NP, Cheong AP. Venous access and long-term pacemaker lead failure: comparing contrast-guided axillary vein puncture with subclavian puncture and cephalic cutdown. Europace. 2017;19:1193–7.
doi: 10.1093/europace/eux312
Esmaiel A, Hassan J, Blenkhorn F, Mardigyan V. The use of ultrasound to improve axillary vein access and minimize complications during pacemaker implantation. Pacing Clin Electrophysiol. 2016;39:478–82.
doi: 10.1111/pace.12833
Franco E, Rodriguez Munoz D, Matia R, Hernandez-Madrid A, Carbonell San Roman A, Sanchez I, et al. Wireless ultrasound-guided axillary vein cannulation for the implantation of cardiovascular implantable electric devices. J Cardiovasc Electrophysiol. 2016;27:482–7.
doi: 10.1111/jce.12917
Liccardo M, Nocerino P, Salzano G, Ciardiello C. Efficacy of ultrasound-guided axillary/subclavian venous approaches for pacemaker and defibrillator lead implantation: a randomized study. J Interv Card Electrophysiol. 2018;51:153–60.
doi: 10.1007/s10840-018-0313-7
Steffel J, Verhamme P, Potpara TS, Albaladejo P, Antz M, Desteghe L, et al. The 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoaugulants in patients with atrial fibrillation. Eur Heart Journal. 2018;39:1330–93.
doi: 10.1093/eurheartj/ehy136
Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization. Cochrane Database Syst Rev. 2015;1:CD011447.
pubmed: 25575245
De Sensi F, Miracapillo G, Addonisio L, Breschi M, Paneni F, Cresti A, et al. Axillary vein access with or 5 without venography: is this the dilemma in the ultrasounds era? Europace. 2018;20:1389–90.
doi: 10.1093/europace/euy048
Bozyel S, Yalniz A, Aksu T, Guler TE, Genez S. Ultrasound-guided combined pectoral nerve block and axillary venipuncture for the implantation of cardiac implantable electronic devices. Pacing Clin Electrophysiol. 2019;42:1026–31.
doi: 10.1111/pace.13725
Lin J, Adsit G, Barnett A, Tattersall M, Field ME, Wright J. Feasibility of ultrasound-guided vascular access during cardiac implantable device placement. J Interv Card Electrophysiol. 2017;50:105–9.
doi: 10.1007/s10840-017-0273-3
Sommerkamp SK, Romaniuk VM, Witting MD, Ford DR, Allison MG, Euerle BD. A comparison of longitudinal and transverse approaches to ultrasound-guided axillary vein cannulation. Am J Emerg Med. 2013;3:478–81.
doi: 10.1016/j.ajem.2012.09.015
Stone MB, Moon C, Sutijono D, Blaivas M. Needle tip visualization during ultrasound-guided vascular access: short axis vs long axis approach. Am J Emerg Med. 2010;28:343–7.
doi: 10.1016/j.ajem.2008.11.022
Ahmed AS, Gilge JL, Clark BA, Shah A, Bagga S, Padanilam MS, et al. Predictors of successful ultrasound guided lead implantation. Pacing Clin Electrophysiol. 2020;43:217–22.
doi: 10.1111/pace.13855
Kim IS, Kang SS, Park JH, Hong SJ, Shin KM, Yoon YJ, et al. Impact of sex, age and BMI on depth and diameter of the infraclavicular axillary vein when measured by ultrasonography. Eur J Anaesthesiol. 2011;28:346–50.
doi: 10.1097/EJA.0b013e3283416674
Chen JY, Chang KC, Lin YC, Chou HT, Hung JS. Pre-procedure duplex ultrasonography to assist cephalic vein isolation in pacemaker and defibrillator implantation. J Interv Card Electrophysiol. 2005;12:75–81.
doi: 10.1007/s10840-005-5844-z
Szabo TL, Lewin PA. Ultrasound transducer selection in clinical imaging practice. J Ultrasound Med. 2013;32:573–82.
doi: 10.7863/jum.2013.32.4.573
Abboud PC, Kendall JL. Ultrasound guidance for vascular access. Emerg Med Clin North Am. 2004;22:749–73.
doi: 10.1016/j.emc.2004.04.003