Ultrasound-guided Axillary Vein Puncture in Cardiac Lead Implantation: Time to Move to a New Standard Access?
Cardiac implantable electronic devices
ICD
axillary vein
permanent pacemaker implantation
ultrasound
Journal
Arrhythmia & electrophysiology review
ISSN: 2050-3369
Titre abrégé: Arrhythm Electrophysiol Rev
Pays: England
ID NLM: 101637930
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
entrez:
28
9
2020
pubmed:
29
9
2020
medline:
29
9
2020
Statut:
ppublish
Résumé
Cardiac stimulation therapy has evolved significantly over the past 30 years. Currently, cardiac implantable electronic devices (CIED) are the mainstream therapy for many potentially lethal heart conditions, such as advanced atrioventricular block or sustained ventricular tachycardia or fibrillation. Despite sometimes being lifesaving, the implant is surgical and therefore carries all the inevitable intrinsic risks. In the process of technology evolution, one of the most important factors is to make it safer for the patient. In the context of CIED implants, complications include accidental puncture of intrathoracic structures. Alternative strategies to intrathoracic subclavian vein puncture include cephalic vein dissection or axillary vein puncture, which can be guided by fluoroscopy, venography or, more recently, ultrasound. In this article, the authors analyse the state of the art of ultrasound-guided axillary vein puncture using evidence from landmark studies in this field.
Identifiants
pubmed: 32983528
doi: 10.15420/aer.2020.17
pmc: PMC7491067
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
78-82Informations de copyright
Copyright © 2020, Radcliffe Cardiology.
Déclaration de conflit d'intérêts
Disclosure: APT has received funds from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES; Finance Code 001) for scientific research. All other authors have no conflicts of interest to declare.
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