Vein Management for Cardiac Device Implantation

Ali Bak Al-Hadithi; Duc H Do; Noel G Boyle

doi:10.1016/j.ccep.2018.05.003

Vein Management for Cardiac Device Implantation

Card Electrophysiol Clin. 2018 Dec;10(4):561-571. doi: 10.1016/j.ccep.2018.05.003. Epub 2018 Oct 5.

Authors

Ali Bak Al-Hadithi¹, Duc H Do¹, Noel G Boyle²

Affiliations

¹ UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, 100 UCLA Medical Plaza, Los Angeles, CA 90095, USA.
² UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, 100 UCLA Medical Plaza, Los Angeles, CA 90095, USA. Electronic address: nboyle@mednet.ucla.edu.

PMID: 30396572
DOI: 10.1016/j.ccep.2018.05.003

Abstract

Transvenous approaches for pacemaker and defibrillator lead insertion offer numerous advantages over epicardial techniques. Although the cephalic, axillary, and subclavian veins are most commonly used in clinical practice, they each offer their own set of advantages and disadvantages that leave their usage dependent on patient anatomy and physician preference. Alternative methods using the upper and lower venous circulation have been described when these veins are not available or practical for lead insertion. Until current technology is superseded by leadless pacing systems, the search for the optimal lead insertion technique continues.

Keywords: Cardiac devices; Lead insertion; Transvenous approaches; Vein management.

Publication types

Review

MeSH terms

Axillary Vein / surgery*
Defibrillators, Implantable
Humans
Patient Positioning
Phlebography
Prosthesis Implantation / methods*
Subclavian Vein / surgery*
Surgery, Computer-Assisted
Ultrasonography