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Axillary vein puncture using fluoroscopic landmarks: a safe and effective approach for implantable cardioverter defibrillator leads

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Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Purpose

Axillary vein puncture is an effective method for pacemaker lead insertion with less complications compared with subclavian vein puncture; however, there are limited data on implantable cardioverter defibrillator (ICD) implantation with this technique. We reported our experience with a blind axillary vein puncture using fluoroscopic landmarks consisting of the outer edge of the first rib and the body surface of the second rib for ICD lead implantation.

Methods

The study population included 103 consecutive patients (mean age 59 ± 9 years) referred for ICD implantation using axillary vein puncture without contrast venography. An 18-gauge needle was advanced toward the outer edge of the fist rib below the clavicle or the body surface of the second rib. If the vein was not entered, the needle was withdrawn and the puncture was repeated with slight variations of needle direction for a maximum of four times, then contrast-guided vein puncture was performed.

Results

The total implanted leads were 152 including 103 right ventricular leads, 35 right atrial leads, and 14 left ventricular epicardial leads. Blind axillary vein puncture was successful obtained in 96 (93.2 %) patients. The rate of success was higher using the body surface of the second rib compared with the outer edge of the first rib (88.7 vs. 100 %; p = 0.04).Contrast venography was required in seven (6.8 %) patients because of vein course abnormality (n = 5) or vasospasm (n = 2). No acute complications or device-related complications were recorded during a mean follow-up of 12 ± 5 months.

Conclusions

Axillary vein access using fluoroscopic landmarks, especially the body surface of the second rib, is an effective approach for ICD implantation and offers the potential to avoid complications usually observed with traditional subclavian vein approach

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Authors and Affiliations

  1. Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Via N. Giustiniani 2, 35128, Padova, Italy

    Federico Migliore, Mariachiara Siciliano, Manuel De Lazzari, Sonia Ferretto, Chiara Dalla Valle, Alessandro Zorzi, Domenico Corrado, Sabino Iliceto & Emanuele Bertaglia

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  1. Federico Migliore
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  2. Mariachiara Siciliano
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  3. Manuel De Lazzari
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  4. Sonia Ferretto
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  5. Chiara Dalla Valle
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  6. Alessandro Zorzi
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  7. Domenico Corrado
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  8. Sabino Iliceto
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  9. Emanuele Bertaglia
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Correspondence to Federico Migliore.

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Migliore, F., Siciliano, M., De Lazzari, M. et al. Axillary vein puncture using fluoroscopic landmarks: a safe and effective approach for implantable cardioverter defibrillator leads. J Interv Card Electrophysiol 43, 263–267 (2015). https://doi.org/10.1007/s10840-015-0011-7

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  • DOI: https://doi.org/10.1007/s10840-015-0011-7

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