Clinical Significance of Collateral Superficial Vein Across Clavicle in Patients With Cardiovascular Implantable Electronic Device
Clinical Significance of Collateral Superficial Vein Across Clavicle in Patients With Cardiovascular Implantable Electronic Device
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DOI：
10.1253/circj.cj-14-0104
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发表时间：
2014-08-01
影响因子：
3.3
通讯作者：
Umemura, Satoshi
中科院分区：
文献类型：
--
作者：
Hosoda, Junya;Ishikawa, Toshiyuki;Umemura, Satoshi
背景：通道静脉阻塞是心血管植入式电子装置（CIED）植入后常见的并发症。在这种情况下，在CIED周围的皮肤表面经常观察到发育良好的侧浅静脉。本研究的目的是阐明静脉阻塞与锁骨浅静脉发育之间的关系。方法和结果：共纳入107例计划更换发电机、设备升级或拔铅的患者。拍摄装置周围的皮肤表面。在CIED植入侧臂外周静脉注射造影剂20ml，行静脉造影术。静脉阻塞定义为管腔直径缩小75%。静脉造影显示静脉梗阻27例（25.2%）。静脉梗阻组与无静脉梗阻组患者特征差异无统计学意义。107例患者中，44例（41.1%）在CIED植入侧锁骨处有浅静脉。锁骨浅静脉对静脉梗阻诊断的敏感性为96.3%，特异性为77.5% (P
Background: Obstruction of the access vein is a well-known complication after cardiovascular implantable electronic device (CIED) implantation. In that case, well-developed collateral superficial veins are frequently observed on the skin surface around the CIED. The aim of this study was to clarify the relationship between venous obstruction and development of a superficial vein across the clavicle.Methods and Results: A total of 107 patients scheduled for generator replacement, device upgrade, or lead extraction were enrolled. The skin surface around the device was photographed. A 20-ml bolus of contrast medium was injected into a peripheral arm vein on the side of CIED implantation, and contrast venography was performed. Venous obstruction was defined as luminal diameter narrowing >75%. Venography showed venous obstruction in 27 patients (25.2%). There were no statistically significant differences in patient characteristics between the venous obstruction and no venous obstruction group. Of 107 patients, 44 (41.1%) had a superficial vein across the clavicle on the side of CIED implantation. The sensitivity of the presence of a superficial vein across the clavicle in the diagnosis of venous obstruction was 96.3% and specificity was 77.5% (P