Journal of Arrhythmia (Jan 2006)

Safety and Effectiveness of Placement of Pacemaker Leads for Cardiac Resynchronization Therapy in the Axillary Vein by Double Target-guided Venipuncture

  • Toru Kawakami, MD,
  • Seiichi Haruta, MD,
  • Hiroki Kouno, MD,
  • Hideo Takebayashi, MD,
  • Hiroshi Akanuma, MD,
  • Kenzou Okamoto, MD,
  • Norihiko Ohashi, MD,
  • Shinji Sahara, MD,
  • Jun Ida, MD,
  • Ryo Yamazato, MD,
  • Takahiro Taguchi, MD,
  • Syougo Obata, MD,
  • Syougo Mukai, MD,
  • Tadayuki Shimakura, MD

DOI
https://doi.org/10.1016/S1880-4276(06)80006-2
Journal volume & issue
Vol. 22, no. 1
pp. 44 – 47

Abstract

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Background: The increasing incidence of damage to pacemaker leads for cardiac resynchronization therapy (CRT. is an emerging problem that should be prevented. The extrathoracic venipuncture approach has been suggested as a technique for venous access to avoid the problem. Methods and Results: 10 patients had pacemaker lead placement for CRT using the double target method. The lead was inserted in the extrathoracic portion of the subclavian and/or axillary veins without complications in all of the patients. Conclusion: This approach achieves accurate, safe, and speedy extrathoracic venipuncture and is especially suitable for multiple lead placements for CRT.

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