Real-time venography-guided extrathoracic puncture technique for cardiovascular implantable electronic device implantation
Real-time venography-guided extrathoracic puncture technique for cardiovascular implantable electronic device implantation
复制标题
实时静脉造影引导胸腔外穿刺技术用于心血管植入电子装置植入
DOI：
10.1007/s00380-021-01885-0
复制
发表时间：
2021
影响因子：
1.5
通讯作者：
Akasaka Takashi
中科院分区：
文献类型：
--
作者：
Kashiwagi Manabu;Katayama Yosuke;Kuroi Akio;Taruya Akira;Terada Kosei;Tanimoto Takashi;Wada Teruaki;Shimamura Kunihiro;Shiono Yasutsugu;Kubo Takashi;Tanaka Atsushi;Akasaka Takashi
中心静脉入路是心血管植入式电子装置（CIED）植入的一项重要技术，近年来腋静脉入路的应用越来越多。本研究旨在探讨实时静脉造影引导下的胸外穿刺是否有助于手术。我们回顾性分析了179例连续采用腋静脉穿刺方法植入CIED的患者。患者分为两组：常规方法组（CG,n= 107）和实时静脉造影引导组（RG,n= 82）。实时静脉造影的应用是由个别操作人员自行决定的。在本研究中，经验少于50例的操作人员被定义为经验不足的操作人员。RG组穿刺时间和穿刺次数明显少于CG组（283±198 vs. 421±361 s,p< 0.01; 3.19±2.00 vs. 4.18±2.85,p< 0.01）。在没有经验的操作人员中观察到实时静脉造影的这些好处，而在有经验的操作人员中则没有。此外，RG组无需额外穿刺的成功率更高（54%比32%，p< 0.01）。虽然RG组造影剂总用量较高（16.3±4.1 mL比11.9±6.6 mL,p< 0.01），但两组术前、术后血清肌酐水平差异无统计学意义（p= NS）。我们认为，实时静脉造影是一种安全有效的腋窝静脉穿刺方法，特别是对于经验不足的操作人员。
Central venous access is an essential technique for cardiovascular implantable electronic device (CIED) implantation, and the use of axillary vein approach has recently been increasing. This study sought to examine whether real-time venography-guided extrathoracic puncture facilitates the procedure. We retrospectively analyzed 179 consecutive patients who underwent CIED implantation using the axillary vein puncture method. Patients were divided into two groups: the conventional method group (CG,n= 107) and the real-time venography-guided group (RG,n= 82). The application of real-time venography was at the discretion of individual operators. Operators with experience of less than 50 CIED implantations were defined as inexperienced operators in this study. Puncture duration and number of attempts were significantly less in the RG group than in the CG group (283 ± 198 vs. 421 ± 361 s,p< 0.01, and 3.19 ± 2.00 vs. 4.18 ± 2.85,p< 0.01). These benefits of real-time venography were observed in inexperienced operators, but not in experienced operators. In addition, the success rate without extra attempts at puncture was higher in the RG group (54% vs. 32%,p< 0.01). Although the total amount of contrast medium was higher in the RG group (16.3 ± 4.1 mL vs. 11.9 ± 6.6 mL,p< 0.01), serum levels of creatinine pre- and post-operation were not different in the two groups (p= NS). We concluded that real-time venography is a safe and effective method for axillary vein puncture, especially in inexperienced operators.
登录
查看更多内容
一种促进 CRT 植入期间腋静脉穿刺的主动技术。
DOI：
--
发表时间：
2015
期刊：
The Journal of invasive cardiology
影响因子：
--
作者：
A. Al Fagih;A. Ahmed;Y. A. Al Hebaishi;A. El Tayeb;K. Dagriri;S. A. Al Ghamdi
通讯作者：
S. A. Al Ghamdi
影响因子：
2.7
作者：
Franco, Eduardo;Rodriguez Munoz, Daniel;Moreno, Javier
通讯作者：
Moreno, Javier
DOI：
10.1111/j.1540-8159.1993.tb01607.x
发表时间：
1993-03-01
影响因子：
1.8
作者：
MAGNEY, JE;FLYNN, DM;HUNTER, DW
通讯作者：
HUNTER, DW
影响因子：
6.1
作者：
Yang, Felix;Kulbak, Guy
通讯作者：
Kulbak, Guy
用于起搏器引线插入的新型胸腔外穿刺技术：传统胸腔外穿刺方法的缺陷
影响因子：
2
作者：
Kohei Sawasaki;Terumori Sato;Yohei Takayama;Shigeki Yokota;Y. Morita;Masakazu Kobayashi;Makoto Saito;C. Takanaka;M. Muto
通讯作者：
M. Muto