Left Axillary Pacemaker Generator Implantation with a Direct Puncture of the Left Axillary Vein

Noro, Mahito; Zhu, Xin; Takagi, Takahito; Sahara, Naohiko; Narabayashi, Yuriko; Hashimoto, H; Ito, Naoshi; Enomoto, Yoshinari; Nakamura, K; Kujime, Shingo; Sakai, Tuyoshi; Saruta, Takao; Sugi, Kaoru

doi:10.1111/pace.12500

Cited by 8 publications

(3 citation statements)

References 13 publications

(28 reference statements)

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“…They reported that left axillary pacemaker implantation may be performed safely if functional or cosmetic outcomes are required by the patient. 4 ith the advent of optimal biphasic waveform, highershock energy devices, inadequate safety margins for defibrillation have become uncommon. Nevertheless, post-implant defibrillation testing occasionally reveals a high defibrillation threshold (DFT) at which the reliability of defibrillation might be questioned.…”

Section: Article P 878mentioning

confidence: 99%

Implantation Site Does Matter for Defibrillation Threshold

Yokoyama

2016

Circ J

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Section: Article P 878mentioning

confidence: 99%

Implantation Site Does Matter for Defibrillation Threshold

Yokoyama

2016

Circ J

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“…A detailed description of the cardiac device implantation during the left axilla procedure can be found elsewhere 7 and we utilized the same technique for implanting the TV-ICD. First, patients were placed in the supine position and the left arm was elevated and bent with the patient gripping the handle overhead to expose the left axillary fossa and the lateral margin of the greater pectoral muscle.…”

Section: Implantation Procedures and Patient Follow Upmentioning

confidence: 99%

“…We previously demonstrated that a left axillary pacemaker generator placement with a direct puncture of the left axillary vein is one of the alternatives for a pacemaker implantation. 7 Although the TV-ICD implantations in the left axilla have been described in some case reports and patient series, the number of implants and length of the follow-up have been very limited and most focused on the procedure feasibility or related complications and not on a comparison with the conventional TV-ICD implantation site. [8][9][10][11][12] Thus, we evaluated the safety and feasibility of implanting a TV-ICD in the left axilla and the lead performance data during the long-term follow up and compared it to that obtained with the conventional TV-ICD implantation site (i.e., the left anterior chest).…”

Section: Introductionmentioning

confidence: 99%

Safety and feasibility of implanting a transvenous implantable cardioverter defibrillator (TV‐ICD) in the left axilla

Enomoto

Noro

Toyoda

et al. 2021

Pacing Clinical Electrophis

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Background: Transvenous implantable cardioverter defibrillator (TV-ICD) systems are commonly implanted in the left anterior chest because of an easier implantation and better defibrillation threshold. This study aimed to evaluate the safety and feasibility of left axillary implantations of TV-ICD systems. Methods:We performed left axillary TV-ICD implantations and compared that to the major complication rate and operation time of the conventional TV-ICD implantation site (left anterior chest). The electrical parameter trends were also assessed in the left axilla group.Results: Seventy-six consecutive patients were evaluated for the analysis. Thirty-one patients had their system implanted in the left axilla and the reasons for the implantations included 29 patients for cosmetic reasons and two for post-infection conditions. The operation time and major complication rate were similar between the two groups (left anterior chest vs. left axilla: 134±62.4 min vs. 114±33.5 min, p = .11, 1/45 patient, 2.2% [pocket hematoma] vs. 1/31 patient, 3.2% [lead dislodgement], p = .77).During the follow up period (4.9±2.3years), no lead interruptions were observed in either group. The electrical lead parameters at the time of the implantation and follow up were similar in the study group (R wave sensing 20.8±33.4 vs. 11.2±7.42 mv, p = .34; lead impedance 464±64.7 vs. 418±135ohm, p = .22; pacing threshold [at 0.4 ms] 1.0±0.76 vs. 1.21±0.93V, p = .49). Conclusion:TV-ICD implantations in the left axilla were performed safely without increasing the operation time as compared to the conventional ICD implantation site.ICD implantations in the left axilla are an alternative in those not suitable for implanting TV-ICDs in the conventional implantation site.

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Low lateral thoracic site for cardiac implantable electronic device implantation: A viable alternative in patients with limited access options after infected device extraction

et al. 2017

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Left Axillary Pacemaker Generator Implantation with a Direct Puncture of the Left Axillary Vein

Abstract: The left axillary generator implantations may reduce the mental burden and cause no safety concerns, and may be performed if functional or cosmetic outcomes are required.

Cited by 8 publications

References 13 publications

Implantation Site Does Matter for Defibrillation Threshold

Implantation Site Does Matter for Defibrillation Threshold

Safety and feasibility of implanting a transvenous implantable cardioverter defibrillator (TV‐ICD) in the left axilla

Low lateral thoracic site for cardiac implantable electronic device implantation: A viable alternative in patients with limited access options after infected device extraction

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