Sex-related differences regarding cephalic vein lead access for CIEDs implantation

Abstract Background Minimally invasive and safe central venous access is imperative for lead insertion of cardiac implantable electronic devices (CIEDs). The purpose of this trial was to explore and compare the usability of the cephalic vein (CV) between both sexes. Methods and results This single-c...

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Autores principales:	Jane Taleski, Svetlana Stankovik, Dejan Risteski, Filip Janusevski, Bekim Pocesta, Zan Zimbakov, Lidija Poposka
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Sex differences Cephalic vein Axillary vein Subclavian vein Device implantation Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/65b8d216ede14828932704be4065e6de
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spelling	oai:doaj.org-article:65b8d216ede14828932704be4065e6de2021-11-21T12:32:58ZSex-related differences regarding cephalic vein lead access for CIEDs implantation10.1186/s42444-021-00049-52466-1171https://doaj.org/article/65b8d216ede14828932704be4065e6de2021-11-01T00:00:00Zhttps://doi.org/10.1186/s42444-021-00049-5https://doaj.org/toc/2466-1171Abstract Background Minimally invasive and safe central venous access is imperative for lead insertion of cardiac implantable electronic devices (CIEDs). The purpose of this trial was to explore and compare the usability of the cephalic vein (CV) between both sexes. Methods and results This single-center prospective study included 102 consecutive patients in a period of six months. Pre-procedural contrast-enhanced venographic images of the upper arm were performed in all included patients. Our attention was focused on comparing several morpho-anatomical CV characteristics such as venous diameter, presence of valves and angle of entrance of the CV into the subclavian vein (SV). Study results concerning the CV morpho-anatomical differences were more favorable regarding the female patient group, with significant differences in CV diameter (p-0.030). There was also a difference in favor of the female group regarding the favorable CV angle of entrance into the SV, found in the 61.7% versus 54.4% in the male patient group. The comparison of usability of the CV and CVC technique was explored by comparing the number of leads inserted through the CV in both sexes. Two leads were implanted in 11.7% in the female group versus 5.8% in the male group, and 0 leads through the CV in 38.2% of the female patients versus 50% of male group. Conclusion Female patients have more favorable cephalic vein morpho-anatomical futures and better usability for lead placement than male patients.Jane TaleskiSvetlana StankovikDejan RisteskiFilip JanusevskiBekim PocestaZan ZimbakovLidija PoposkaBMCarticleSex differencesCephalic veinAxillary veinSubclavian veinDevice implantationDiseases of the circulatory (Cardiovascular) systemRC666-701ENInternational Journal of Arrhythmia, Vol 22, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sex differences Cephalic vein Axillary vein Subclavian vein Device implantation Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Sex differences Cephalic vein Axillary vein Subclavian vein Device implantation Diseases of the circulatory (Cardiovascular) system RC666-701 Jane Taleski Svetlana Stankovik Dejan Risteski Filip Janusevski Bekim Pocesta Zan Zimbakov Lidija Poposka Sex-related differences regarding cephalic vein lead access for CIEDs implantation
description	Abstract Background Minimally invasive and safe central venous access is imperative for lead insertion of cardiac implantable electronic devices (CIEDs). The purpose of this trial was to explore and compare the usability of the cephalic vein (CV) between both sexes. Methods and results This single-center prospective study included 102 consecutive patients in a period of six months. Pre-procedural contrast-enhanced venographic images of the upper arm were performed in all included patients. Our attention was focused on comparing several morpho-anatomical CV characteristics such as venous diameter, presence of valves and angle of entrance of the CV into the subclavian vein (SV). Study results concerning the CV morpho-anatomical differences were more favorable regarding the female patient group, with significant differences in CV diameter (p-0.030). There was also a difference in favor of the female group regarding the favorable CV angle of entrance into the SV, found in the 61.7% versus 54.4% in the male patient group. The comparison of usability of the CV and CVC technique was explored by comparing the number of leads inserted through the CV in both sexes. Two leads were implanted in 11.7% in the female group versus 5.8% in the male group, and 0 leads through the CV in 38.2% of the female patients versus 50% of male group. Conclusion Female patients have more favorable cephalic vein morpho-anatomical futures and better usability for lead placement than male patients.
format	article
author	Jane Taleski Svetlana Stankovik Dejan Risteski Filip Janusevski Bekim Pocesta Zan Zimbakov Lidija Poposka
author_facet	Jane Taleski Svetlana Stankovik Dejan Risteski Filip Janusevski Bekim Pocesta Zan Zimbakov Lidija Poposka
author_sort	Jane Taleski
title	Sex-related differences regarding cephalic vein lead access for CIEDs implantation
title_short	Sex-related differences regarding cephalic vein lead access for CIEDs implantation
title_full	Sex-related differences regarding cephalic vein lead access for CIEDs implantation
title_fullStr	Sex-related differences regarding cephalic vein lead access for CIEDs implantation
title_full_unstemmed	Sex-related differences regarding cephalic vein lead access for CIEDs implantation
title_sort	sex-related differences regarding cephalic vein lead access for cieds implantation
publisher	BMC
publishDate	2021
url	https://doaj.org/article/65b8d216ede14828932704be4065e6de
work_keys_str_mv	AT janetaleski sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation AT svetlanastankovik sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation AT dejanristeski sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation AT filipjanusevski sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation AT bekimpocesta sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation AT zanzimbakov sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation AT lidijapoposka sexrelateddifferencesregardingcephalicveinleadaccessforciedsimplantation
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Sex-related differences regarding cephalic vein lead access for CIEDs implantation

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