Department of Cardiology (Principality), Princess Grace Hospital, Monaco
Research Article
Ultrasound-Guided Axillary Vein Puncture Feasibility for Complex Cardiac
Devices Implantation
Author(s): Bun SS*, Squara F, Wedn AM, Lațcu DG, Scarlatti D, Theodore G, Errahmouni A, Amoura A, Allouche E, Enache B, Hasni K, Benaïch FA, Saoudi N, Ferrari E and Deharo JC
Background: The axillary route use for cardiac devices implantation has recently expanded either with
fluoroscopy or ultrasounds guidance. Few studies included defibrillators (ICD), cardiac resynchronization therapy
(CRT) and upgrade procedures for ultrasound-guided axillary vein puncture (UGVP).
Aim: To assess the feasibility/safety of UGVP for complex cardiac devices implantation including CRT/ICD.
Methods: Consecutive patients eligible for a pacemaker or ICD implantation were included. All procedures were
performed by three operators (one experienced and two fellows) in three different centers. Guidewires insertion time
(from local anesthesia injection), and complications were systematically studied. A group of patients implanted with
alternative routes (cephalic or subclavian) was used for compa.. Read More»
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