Sinai-Grace Hospital/Detroit Medical Center,
6071 West Outer Drive, Detroit Medical Center, MI 48235
Tanzania
Research Article
Fluoroscopy-Guided Axillary Vein Puncture, a Reliable Method to Prevent Acute Complications Associated With Pacemaker, Defibrillator, and Cardiac Resynchronization Therapy Leads Insertion
Author(s): E.M. Malitha S. Hettiarachchi, Camelia Arsene, Salah Fares, Adriss Faraj, Erik Saulitis, Salvatory Losito and Mukarram SiddiquiE.M. Malitha S. Hettiarachchi, Camelia Arsene, Salah Fares, Adriss Faraj, Erik Saulitis, Salvatory Losito and Mukarram Siddiqui
Introduction: 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.
Methods: This is a retrospective observational study on all patients who underwent pacemaker, defibrillator implant or lead change over 23 months. The fluoroscopy-guided modified Seldinger technique was used for axillary vein puncture and if failed, venography was performed.
Results: Out of 261 device implants or lead changes, 210 patients underwent fluoroscopy-guided axil.. Read More»
DOI:
10.4172/2329-9517.1000136
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report