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Safe Introducer Technique for Pacemaker Lead Implantation
Author(s) -
BYRD CHARLES L.
Publication year - 1992
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1992.tb06494.x
Subject(s) - medicine , lead (geology) , cardiology , intensive care medicine , medical emergency , geology , geomorphology
Over the last several years, an introducer approach for pacemaker lead insertion has evolved that eliminates most introducer‐related complications. The approach consists of defining a safe region for intra thoracic cannulatiort of the subclavian vein. If specific conditions cannot be met for entering the “safe” region or if the vein cannot be found, the subclavian vein is cannulated extrathoracically. Recently, this technique was used in 263 consecutive patients undergoing pacemaker implantation. The infrathoracic portion of the subclavian vein was used in 239 (90.9%) cases and the extrathoracic portion in 24 (9,1%). One hundred and ninety‐eight (75.3%) cases were right‐sided and 65 (24.7%) were left‐sided. On the right side, 177 (89.4%) used the intrathoracic portion of the subclavian vein and 21 (10.6%) used the extrafhoracic portion. On the left side, 62 (95.4%) used the intrathoracic portion and three (4.6%) used the extrathoracic. The introducer technique was successful in all cases and there were no introducer‐related complications.