Double Target Method (Double Marker‐Guided Extrathoracic Introducer Insertion)

Kawakami, Takako; Ichinose, Hiroyuki

doi:10.1111/j.1540-8159.2004.00536.x

Cited by 13 publications

(16 citation statements)

References 12 publications

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“…Subsequently, another extrathoracic puncture technique involving imaging of the axillary vein was reported, which is our currently used method [2]. An improvement of this method by insertion of a Pigtail catheter as a marker to guide extrathoracic puncture was also described [3]; however, the Pigtail catheter has the tendency to become caught without advancing into the left subclavian vein beyond the venous valve, which is located in the transition between the left brachiocephalic and the left subclavian veins. Therefore, we instead employ a JR40 catheter as a marker to guide extrathoracic puncture.…”

Section: Discussionmentioning

confidence: 99%

Novel extrathoracic puncture techniques for pacemaker lead insertion: Pitfalls of the conventional extrathoracic puncture method

Sawasaki

Sato

Takayama

et al. 2012

Journal of Arrhythmia

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IntroductionSurgical procedures for pacemaker implantation vary among facilities. The extrathoracic venous puncture method has been utilized for lead insertion, although patients' body movements can displace the targeted vein from the area into which a contrast agent has been injected for imaging. Failed punctures cause edema around the puncture site, spasm, or venous collapse due to bleeding, which may render another puncture impractical. To overcome these problems, we report a new technique for the extrathoracic puncture method.Methods and resultsFrom April 2007 through March 2011, we performed 35 new dual chamber pacemaker implantation procedures. This study compared a conventional puncture group (from April 2007 through March 2009; Group A) with a catheter‐guided puncture group (from April 2009 through March 2011; Group B). We analyzed procedure time and procedure‐related complications in each group. The procedure time was 138.6±41.8 min in the conventional puncture group (Group A) and 109.8±23.2 in the catheter‐guided puncture group (Group B). There was a significant reduction in the procedure time in the catheter‐guided puncture group (Group B) compared with the conventional puncture group (Group A; p=0.016). No patients in either group had pneumothorax, hematoma, or any other complications.ConclusionOur puncture method involving catheter insertion appears to be safe and effective.

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Section: Discussionmentioning

confidence: 99%

Novel extrathoracic puncture techniques for pacemaker lead insertion: Pitfalls of the conventional extrathoracic puncture method

Sawasaki

Sato

Takayama

et al. 2012

Journal of Arrhythmia

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“…Other fluoroscopy‐based techniques rely on some means of rendering the axillary/subclavian vein radio‐opaque, through either contrast injection or placing a guide wire or catheter inside it 1,11,16–19 . Most of these techniques do not provide an algorithm for navigating the needle tip to the vein.…”

Section: Discussionmentioning

confidence: 99%

Axillary/Subclavian Vein Puncture Using Navigation by Parallax with an Imaginary Target

Lau¹

2007

Pacing Clinical Electrophis

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“…While some literature mentions the difficulty in measuring the depth of the vessel with fluoroscopy guidance we did not recognize it as a major barrier [14]. Most importantly, multiple access could be obtained for multiple leads to be inserted without any failure.…”

Section: Discussionmentioning

confidence: 99%

“…Out of the small number of published data on axillary vein puncture most are non United States smaller scale studies that compare various methods, namely, the contrast venography-guided, the Dopplerguided, and the ultrasound-guided puncture methods except for a few studies done in Israel, Japan and India with fluoroscopy-guided Total device/lead change 261 approach [9,11,[13][14][15]. This study is a North-American experience with fluoroscopy-guided axillary vein puncture using the first rib as a landmark; it is done in a relatively large African-American population, and discusses the immediate complications of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopy-Guided Axillary Vein Puncture, a Reliable Method to Prevent Acute Complications Associated With Pacemaker, Defibrillator, and Cardiac Resynchronization Therapy Leads Insertion

Hettiarachchi¹,

Arsene²,

Fares³

et al. 2014

J Cardiovasc Dis Diagn

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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 axillary vein puncture. The mean age of the patients was 65.43 ± 15.7 years; 96.1% were African American; 57.6% were males. In 194 (92.3%) patients left or right axillary vein approaches were successful by either fluoroscopy or venography guidance. When anatomical abnormalities were excluded the success rate for axillary vein puncture was 97% and for fluoroscopy-guided axillary vein puncture was 94.5 %. Multiple leads were placed without any resistance and none of the patients had pneumothorax, hemothorax or hematoma as immediate complications. Conclusion:Based on this first study conducted in a relatively large consecutive United Sates patient population, we report that fluoroscopy-guided axillary vein puncture using the first rib as a landmark, is a safe and effective method for device implantation with single or multiple leads, without patients getting exposed to intravenous contrasts.

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Double Target Method (Double Marker‐Guided Extrathoracic Introducer Insertion)

Cited by 13 publications

References 12 publications

Novel extrathoracic puncture techniques for pacemaker lead insertion: Pitfalls of the conventional extrathoracic puncture method

Novel extrathoracic puncture techniques for pacemaker lead insertion: Pitfalls of the conventional extrathoracic puncture method

Axillary/Subclavian Vein Puncture Using Navigation by Parallax with an Imaginary Target

Fluoroscopy-Guided Axillary Vein Puncture, a Reliable Method to Prevent Acute Complications Associated With Pacemaker, Defibrillator, and Cardiac Resynchronization Therapy Leads Insertion

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