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J. Cardiovasc. Electrophysiol. · Mar 2013
ReviewUltrasound-guided venous access for pacemakers and defibrillators.
- Arnold H Seto, Aaron Jolly, and Jonathan Salcedo.
- University of California, Irvine Medical Center, California, USA. aseto@uci.edu
- J. Cardiovasc. Electrophysiol. 2013 Mar 1;24(3):370-4.
IntroductionUltrasound guidance is widely recommended to reduce the risk of complications during central venous catheter placement. However, ultrasound guidance is not commonly utilized for implanting leads for cardiac rhythm management devices.Methods And ResultsWe describe our technique of ultrasound-guided pacemaker implantation, including a novel pull-through technique that allows percutaneous guidewire insertion prior to the first incision. We review the literature and recent advances in ultrasound imaging technology that may facilitate the adoption of ultrasound guidance.ConclusionsUltrasound guidance provides a safe and rapid technique for extrathoracic subclavian or axillary venous lead placement.© 2012 Wiley Periodicals, Inc.
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