The Use of a Handheld Ultrasound Device to Guide the Axillary Vein Access during Pacemaker and Cardioverter-Defibrillator Implantation. A Feasibility Study.

axillary vein cardioverter-defibrillator handheld pacemaker ultrasound

Journal

Reviews in cardiovascular medicine
ISSN: 1530-6550
Titre abrégé: Rev Cardiovasc Med
Pays: Singapore
ID NLM: 100960007

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 10 02 2022
revised: 11 06 2022
accepted: 15 06 2022
medline: 20 7 2022
pubmed: 20 7 2022
entrez: 30 7 2024
Statut: epublish

Résumé

Although ultrasound guidance for axillary vein (AV) access (USGAVA) has been described as a reliable technique for cardiac implantable electronic device (CIED) implantation, no data is available on the use of handheld ultrasound devices (HUD) in such a setting. We investigated the feasibility of using a HUD for USGAVA in patients referred to our Institution for CIED implantation. The procedure details of 80 consecutive patients undergoing USGAVA (Group-1) from June 2020 to June 2021 were prospectively collected and compared to those of an age and sex-matched cohort of 91 patients (Group-2) who had undergone AV access with the traditional venipuncture guided by fluoroscopic landmarks. The two groups were comparable for the success rate of venous access (92.5% versus 93.4%, USGAVA using a HUD for CIED implantation is a feasible, effective, and safe technique; moreover, it saves X-ray exposure time without lengthening the implant procedure time.

Sections du résumé

Background UNASSIGNED
Although ultrasound guidance for axillary vein (AV) access (USGAVA) has been described as a reliable technique for cardiac implantable electronic device (CIED) implantation, no data is available on the use of handheld ultrasound devices (HUD) in such a setting.
Objective UNASSIGNED
We investigated the feasibility of using a HUD for USGAVA in patients referred to our Institution for CIED implantation.
Methods UNASSIGNED
The procedure details of 80 consecutive patients undergoing USGAVA (Group-1) from June 2020 to June 2021 were prospectively collected and compared to those of an age and sex-matched cohort of 91 patients (Group-2) who had undergone AV access with the traditional venipuncture guided by fluoroscopic landmarks.
Results UNASSIGNED
The two groups were comparable for the success rate of venous access (92.5% versus 93.4%,
Conclusions UNASSIGNED
USGAVA using a HUD for CIED implantation is a feasible, effective, and safe technique; moreover, it saves X-ray exposure time without lengthening the implant procedure time.

Identifiants

pubmed: 39076618
doi: 10.31083/j.rcm2308258
pii: S1530-6550(22)00636-6
pmc: PMC11266965
doi:

Types de publication

Journal Article

Langues

eng

Pagination

258

Informations de copyright

Copyright: © 2022 The Author(s). Published by IMR Press.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest. Daniele Muser was serving as Guest Editor of this journal. We declare that Daniele Muser had no involvement in the peer review of this article and has no access to information regarding its peer review. Full responsibility for the editorial process for this article was delegated to Jerome L. Fleg.

Auteurs

Biagio Sassone (B)

Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy.
Department of Emergency, Division of Cardiology, SS.ma Annunziata Hospital, Azienda Unità Sanitaria Locale di Ferrara, 44042 Cento, Ferrara, Italy.
Department of Emergency, Division of Cardiology, Delta Hospital, Azienda Unità Sanitaria Locale di Ferrara, 44023 Lagosanto, Ferrara, Italy.

Giuseppe Simeti (G)

Department of Emergency, Division of Cardiology, SS.ma Annunziata Hospital, Azienda Unità Sanitaria Locale di Ferrara, 44042 Cento, Ferrara, Italy.

Santo Virzì (S)

Department of Emergency, Division of Cardiology, SS.ma Annunziata Hospital, Azienda Unità Sanitaria Locale di Ferrara, 44042 Cento, Ferrara, Italy.

Giovanni Pasanisi (G)

Department of Emergency, Division of Cardiology, Delta Hospital, Azienda Unità Sanitaria Locale di Ferrara, 44023 Lagosanto, Ferrara, Italy.

Daniele Muser (D)

Cardiothoracic Department, Udine Civil Hospital, 33100 Udine, Italy.

Classifications MeSH