Feasibility of ultrasound-guided axillary vein access for implantation of cardiac implantable electronic device leads

Autor: Seongtaek Oh, Jongmin Hwang, Hyoung-Seob Park, Tae-Wan Chung, Minsu Jung
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal of Arrhythmia, Vol 25, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 2466-1171
DOI: 10.1186/s42444-024-00125-6
Popis: Abstract Background The axillary vein is preferred over the subclavian vein, and the cephalic vein for cardiac implantable electronic device (CIED) lead insertion. However, studies on ultrasound-guided axillary vein access (US-AVA) in Asia are scarce. This study aims to evaluate the feasibility of US-AVA for CIED lead implantation in Korean patients. Methods From September 2021 to September 2023, we employed US-AVA for CIED lead implantation procedures. Patients’ demographic and procedural data were collected and analyzed retrospectively. Results US-AVA was successful in 301 patients (97.7%). There were no occurrences of pneumothorax or severe hematoma due to inadvertent arterial puncture, nor were there any other significant vascular access-related acute complications. During the median 1.7 years of follow-up, no CIED infection or lead-related problems have occurred. Compared to a historical cohort of patients who underwent fluoroscopy-guided axillary vein access (FL-AVA), US-AVA significantly reduced procedure and fluoroscopy time and showed a trend toward reduced radiation doses. Conclusion US-AVA is a safe and effective technique for CIED lead implantation in Korean patients, with advantages over FL-AVA in terms of procedural efficiency and patient safety.
Databáze: Directory of Open Access Journals
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