A new trick to a routine procedure: taking the fear out of the axillary vein stick using the 358 caudal view
A new trick to a routine procedure: taking the fear out of the axillary vein stick using the 358 caudal view
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DOI：
10.1093/europace/euv066
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发表时间：
2015-07-01
期刊：
影响因子：
6.1
通讯作者：
Kulbak, Guy
中科院分区：
文献类型：
--
作者：
Yang, Felix;Kulbak, Guy
腋静脉常用于植入起搏器和除颤器电极导线。我们描述了一种技术，利用尾部透视视图，以促进腋静脉accesswithout contrady.Methods和结果的设备植入物或升级利用这种技术的结果进行了检查，在1年期间，在我们的机构。在229例连续植入中，仅9例患者需要采用替代技术进行电极导线植入。有气胸零例。结论尾视图允许最佳的赞赏前缘的肺和第一肋骨。这种简单的技术增加了穿刺者对相对于肺和第一肋骨的穿刺针深度的了解和控制，从而降低了气胸风险。
Aims The axillary vein is frequently used to implant pacemaker and defibrillator leads. We describe a technique utilizing the caudal fluoroscopic view to facilitate axillary venous access without contrast.Methods and results Outcomes of device implants or upgrades utilizing this technique were examined during a 1-year period at our institution. Of 229 consecutive implants, only 9 patients required an alternate technique for lead implantation. There were zero cases of pneumothorax.Conclusions The caudal view allows for optimal appreciation of the anterior border of the lung and the first rib. This simple technique increases the implanter's appreciation of and control over the access needle depth relative to the lung and first rib, thereby reducing pneumothorax risk.