Ultrasonographic Predictors of Unsuccessful Cephalic Vein Approach During Pacemaker or Defibrillator Lead Implantation

Chen, Jan‐Yow; Chang, Kuan-Cheng; Lin, Kuo‐Hung; Lin, Yi-Chien; Lee, Jeng-Di; Huang, Shoei K. Stephen

doi:10.1111/j.1540-8159.2006.00423.x

Cited by 11 publications

(5 citation statements)

References 20 publications

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“…To the best of our knowledge, there are no previous investigations using preoperative ultrasonography of the proximal cephalic vein for TICVAD implantation in the chest wall, although, there was a study using preoperative ultrasonography of the distal cephalic vein for TICVAD implantation in the forearm, in which mean cephalic vein diameter of 3.5 mm was detected in 11 cases . For pacemaker or defibrillator lead implantation, preoperative ultrasonography with the cephalic cut‐down approach effectively located the proximal cephalic vein and isolated the cephalic vein . The mean cephalic vein diameter with successful implantation was 3.4 mm and the best cut‐off value for cephalic venous diameter to predict unsuccessful cephalic venous approach was ≤2.2 mm .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of totally implantable central venous access devices with the cephalic vein cut‐down approach: Usefulness of preoperative ultrasonography

Otsubo

Hatachi

Shibata

et al. 2015

Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 99%

Evaluation of totally implantable central venous access devices with the cephalic vein cut‐down approach: Usefulness of preoperative ultrasonography

Otsubo

Hatachi

Shibata

et al. 2015

Journal of Surgical Oncology

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“…Pathophysiology of cephalic arch stenosis (CAS) is likely multifactorial. The cephalic arch vulnerability to stenosis is thought to be due to the anatomic location in the deltopectoral groove thus limiting remodeling, angulation of the vein, and unfavorable shear stress related to increased blood flow . The cephalic vein in patients with renal failure display accelerated intimal hyperplasia and wall thickening relative to cephalic veins in patients with normal renal function .…”

mentioning

confidence: 99%

Outcomes of Cephalic Arch Stenosis With and Without Stent Placement after Percutaneous Balloon Angioplasty in Hemodialysis Patients

Dukkipati

Lee

Atray

et al. 2014

Seminars in Dialysis

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Cephalic arch stenosis is a common complication in maintenance hemodialysis (MHD) patients with brachial artery-cephalic vein fistulas and frequently leads to loss of the functioning brachial artery-cephalic vein fistula. There is paucity of conclusive data to guide appropriate management. We examined the risk of recurrence of cephalic arch stenosis after angioplasty compared to angioplasty after stent placement determined by angiography of the involved upper extremity over time in a contemporary cohort of MHD patients treated in two interventional nephrology practices from March 2008 through May 2011. We retrospectively identified 45 MHD patients with evidence of cephalic arch stenosis (age 60 ± 30 years, 45% men) on elective angiograms. The median number of days until another angioplasty was required decreased, starting with a median of 91.5 days after the first, 70.5 days after the second, 85 days after the third, and 56 days after the fourth. Angioplasty is associated with a faster rate of recurrence of cephalic arch stenosis. The placement of intravascular stent seems to prolong the patency compared to angioplasty alone. Clinical trials with a larger sample size will better elucidate the value and timing of angioplasty versus stent placement in cephalic arch stenosis.

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“…Larger studies would be required to investigate if these three factors do constitute significant procedural failure factors, as suggested by our findings. Chen et al 18 reported that a small venous diameter was a predictor of failure for a CV cut-down approach. Otsubo et al 19 showed that CV cut-down procedures with pre-operative ultrasonography resulted in quicker operations, which were more likely to be successful.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guided percutaneous cephalic venipuncture for implantation of cardiac implantable electronic devices

2021

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Background: Preoperative ultrasound (US) for cephalic cut-down is related to shorter procedure time and higher success rate. This study aimed to assess efficiency of US-guided percutaneous cephalic vein (CV) puncture for placement of cardiac implantable electronic devices (CIEDs). Methods: Patients undergoing a procedure including both US-guided pectoral nerve block (PECS) and percutaneous CV puncture were retrospectively investigated. Patient medical history and demographic data was collected. Clinical features of the procedures and intra- and post-operative complications occurring were collected from patient records. Clinical data included target vessel features, and the time taken for the following: CV puncture; CV and PECS puncture; total procedure. Results: In total 34 patients had CV puncture with US-guided PECS block was attempted in all patients and the procedure was successful in 27 of 34 (79.4%) patients. The total number of CV puncture attempts was 62 for 34 leads (mean attempts per lead = 1.82). The mean ± standard deviation time for CV puncture was 137.5 ± 27.4 s. There were no venous access-related complications. Conclusion: US-guided CV puncture appears feasible and safe with an acceptable success rate. In case of failure of the US-guided axillary or subclavian vein approach, it may be preferred as an alternative to the cephalic cut-down procedure, where the success rate is relatively lower and the risk of bleeding is higher.

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Ultrasonographic Predictors of Unsuccessful Cephalic Vein Approach During Pacemaker or Defibrillator Lead Implantation

Cited by 11 publications

References 20 publications

Evaluation of totally implantable central venous access devices with the cephalic vein cut‐down approach: Usefulness of preoperative ultrasonography

Evaluation of totally implantable central venous access devices with the cephalic vein cut‐down approach: Usefulness of preoperative ultrasonography

Outcomes of Cephalic Arch Stenosis With and Without Stent Placement after Percutaneous Balloon Angioplasty in Hemodialysis Patients

Ultrasound guided percutaneous cephalic venipuncture for implantation of cardiac implantable electronic devices

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