Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?

Abstract We reviewed the different approaches used for central vein access during insertion of cardiac implantable electronic devices. The benefits and hazards of each approach (cephalic vein cutdown, axillary vein cannulation using venography and ultrasound) are discussed. Each approach has its adv...

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Autores principales:	Lloyd Davis, William Chik, Saurabh Kumar, Gopal Sivagangabalan, Stuart P. Thomas, A. Robert Denniss
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	axillary vein pacemaker ultrasound guidance Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/281eff5e01b84808ba2d486451a85803
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spelling	oai:doaj.org-article:281eff5e01b84808ba2d486451a858032021-12-02T08:25:11ZAxillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?1883-21481880-427610.1002/joa3.12639https://doaj.org/article/281eff5e01b84808ba2d486451a858032021-12-01T00:00:00Zhttps://doi.org/10.1002/joa3.12639https://doaj.org/toc/1880-4276https://doaj.org/toc/1883-2148Abstract We reviewed the different approaches used for central vein access during insertion of cardiac implantable electronic devices. The benefits and hazards of each approach (cephalic vein cutdown, axillary vein cannulation using venography and ultrasound) are discussed. Each approach has its advantages and hazards that need to be considered for the individual patient and balanced against the skills of the operator. The benefits of ultrasound guided venous access in reducing radiation exposure to the patient and implanter, avoiding the need for angiographic contrast and in minimizing the risk of pneumothorax and inadvertent arterial puncture are highlighted. Trainees should be taught each approach to deal with patient variability. Ultrasound guidance should be considered as a mainstream option for most patients.Lloyd DavisWilliam ChikSaurabh KumarGopal SivagangabalanStuart P. ThomasA. Robert DennissWileyarticleaxillary veinpacemakerultrasound guidanceDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Arrhythmia, Vol 37, Iss 6, Pp 1506-1511 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	axillary vein pacemaker ultrasound guidance Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	axillary vein pacemaker ultrasound guidance Diseases of the circulatory (Cardiovascular) system RC666-701 Lloyd Davis William Chik Saurabh Kumar Gopal Sivagangabalan Stuart P. Thomas A. Robert Denniss Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?
description	Abstract We reviewed the different approaches used for central vein access during insertion of cardiac implantable electronic devices. The benefits and hazards of each approach (cephalic vein cutdown, axillary vein cannulation using venography and ultrasound) are discussed. Each approach has its advantages and hazards that need to be considered for the individual patient and balanced against the skills of the operator. The benefits of ultrasound guided venous access in reducing radiation exposure to the patient and implanter, avoiding the need for angiographic contrast and in minimizing the risk of pneumothorax and inadvertent arterial puncture are highlighted. Trainees should be taught each approach to deal with patient variability. Ultrasound guidance should be considered as a mainstream option for most patients.
format	article
author	Lloyd Davis William Chik Saurabh Kumar Gopal Sivagangabalan Stuart P. Thomas A. Robert Denniss
author_facet	Lloyd Davis William Chik Saurabh Kumar Gopal Sivagangabalan Stuart P. Thomas A. Robert Denniss
author_sort	Lloyd Davis
title	Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?
title_short	Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?
title_full	Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?
title_fullStr	Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?
title_full_unstemmed	Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?
title_sort	axillary vein access using ultrasound guidance, venography or cephalic cutdown—what is the optimal access technique for insertion of pacing leads?
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/281eff5e01b84808ba2d486451a85803
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Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?

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