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Ultrasound guided axillary vein access: An alternative approach to venous access for cardiac device implantation
- Source :
- Journal of cardiovascular electrophysiologyREFERENCES. 32(2)
- Publication Year :
- 2020
-
Abstract
- INTRODUCTION Ultrasound guided axillary vein access (UGAVA) is an emerging approach for cardiac implantable electronic device (CIED) implantation not widely utilized. METHODS AND RESULTS This is a retrospective, age and sex-matched cohort study of CIED implantation from January 2017 to July 2019 comparing UGAVA before incision to venous access obtained after incision without ultrasound (conventional). The study population included 561 patients (187 with attempted UGAVA, 68 ± 13 years old, 43% women, body mass index (BMI) 30 ± 8 kg/m2 , 15% right-sided, 43% implantable cardioverter-defibrillator, 15% upgrades). UGAVA was successful in 178/187 patients (95%). In nine patients where UGAVA was abandoned, the vein was too deep for access before incision. BMI was higher in abandoned patients than successful UGAVA (38 ± 6 vs. 28 ± 6 kg/m2 , p
- Subjects :
- Male
medicine.medical_specialty
Pacemaker, Artificial
medicine.medical_treatment
030204 cardiovascular system & hematology
Cohort Studies
Prosthesis Implantation
03 medical and health sciences
0302 clinical medicine
Interquartile range
Physiology (medical)
medicine
Fluoroscopy
Humans
030212 general & internal medicine
Axillary Vein
Vein
Ultrasonography, Interventional
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Ultrasound
Middle Aged
medicine.disease
Implantable cardioverter-defibrillator
Surgery
Defibrillators, Implantable
medicine.anatomical_structure
Pneumothorax
Female
Implant
Cardiology and Cardiovascular Medicine
Axillary vein
business
Subjects
Details
- ISSN :
- 15408167
- Volume :
- 32
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of cardiovascular electrophysiologyREFERENCES
- Accession number :
- edsair.doi.dedup.....cbebfaca481943c25d245a070e0cf1ce