ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2017
Implantation of cardiac resynchronization therapy devices using three leads by cephalic vein dissection approach.
Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The axillary vein and its tributaries: anatomical variations, morphometry, and surgical implications.Surgical and radiologic anatomy : SRA · 2026Article
- Standardised procedure for pacemaker axillary vein puncture.BMC cardiovascular disorders · 2025Article
- Clinical Decision Making and Technical Approaches in Implantable Cardioverter-Defibrillator Procedures: A Step by Step Critical Appraisal of Literature.Reviews in cardiovascular medicine · 2024Review
- Safety and Efficiency of Cephalic Vein Puncture by Modified Seldinger Technique Compared to Subclavian Vein Puncture for Cardiac Implantable Electronic Devices.Clinical cardiology · 2024Article
- Comment on 'Leadless Pacemakers: Current Achievements and Future Perspectives'.European cardiology · 2023Article
- The Use of a Handheld Ultrasound Device to Guide the Axillary Vein Access during Pacemaker and Cardioverter-Defibrillator Implantation. A Feasibility Study.Reviews in cardiovascular medicine · 2022Article
- EHRA expert consensus statement and practical guide on optimal implantation technique for conventional pacemakers and implantable cardioverter-defibrillators: endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin-American Heart Rhythm Society (LAHRS).Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021Article
- The axillary vein and its tributaries are not in the mirror image of the axillary artery and its branches.PloS one · 2019Article
- Triple lead cephalic versus subclavian vein approach in cardiac resynchronization therapy device implantation.Scientific reports · 2018Article
- Complications of electrotherapy - the dark side of treatment with cardiac implantable electronic devices.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018Review
- Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
aimsPercutaneous subclavian, axillary, and cephalic vein access are all used in conjunction for atrial and ventricular lead implantation, though no standard approach for cardiac resynchronization therapy (CRT) device implantation has been established. We describe an effective and a safe technique for implanting three leads via cephalic vein for CRT pacemaker and/or defibrillator implantations. METHODS AND
resultsA total of 171 consecutive patients undergoing de novo implantation of CRT pacemaker or defibrillator were included. Cephalic vein access was achieved by dissection and direct visualization. If the cephalic vein was inadequate, alternate means of access was determined after outset of the procedure. Procedural success rates and complications were recorded. Of the 171 de novo CRT implant attempts, 169 (98.8%) patients had successful implantation of all 3 leads on the first attempt. Of the 171 procedural attempts, 150 (87.7%) patients had all 3 leads placed via cephalic vein. Overall, complications occurred in 6 of 171 patients (3.5%) including initial and repeat procedures. These complications included seven lead dislodgements, two cases of diaphragmatic stimulation requiring lead revision, and one coronary sinus dissection without pericardial effusion. There were no cases of pneumothorax, pocket haematoma requiring evacuation, or infection.
conclusionThe triple lead via cephalic vein technique is safe and effective when used as a first approach for CRT device implantation.
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