Percutaneous cephalic vein approach for permanent pacemaker implantation

被引:22
作者
Shimada, H
Hoshino, K
Yuki, M
Sakurai, S
Owa, M
机构
[1] Shinonoi Gen Hosp, Dept Cardiol, Matsundo, Japan
[2] Shinshu Univ, Sch Med, Dept Internal Med 3, Matsundo, Japan
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1999年 / 22卷 / 10期
关键词
permanent pacemaker; guidewire technique; cephalic vein; antecubital fossa;
D O I
10.1111/j.1540-8159.1999.tb00354.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Implantation of permanent pacemaker leads into the cephalic vein within the deltopectoral groove is enhanced by introduction of a flexible guidewire into the brachial vein at the antecubital fossa, which is then advanced to the subclavian vein. The cephalic vein within the deltopectoral groove is easily found by incision with the guidewire as a marker. A pacing lead or leads can be inserted along the guidewire or by using a sheath advanced over the guidewire. The procedure was performed on 32 patients and the pacing leads of 28 procedures (DDD 15, VDD 9 and VVI 4) were inserted using the cephalic vein without complications.
引用
收藏
页码:1499 / 1501
页数:3
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