Shimada H, Hoshino K, Yuki M, Sakurai S, Owa M
Department of Cardiology, Shinonoi General Hospital, Matsundo, Japan.
Pacing Clin Electrophysiol. 1999 Oct;22(10):1499-501. doi: 10.1111/j.1540-8159.1999.tb00354.x.
Implantation of permanent pacemaker leads into the cephalic vein within the deltopectoral groove is enhanced by introduction of a flexible guidewire into the brachial vein at the antecubital fossa, which is then advanced to the subclavian vein. The cephalic vein within the deltopectoral groove is easily found by incision with the guidewire as a marker. A pacing lead or leads can be inserted along the guidewire or by using a sheath advanced over the guidewire. The procedure was performed on 32 patients and the pacing leads of 28 procedures (DDD 15, VDD 9 and WI 4) were inserted using the cephalic vein without complications.
通过在前臂肘窝处将一根柔性导丝引入肱静脉，然后推进至锁骨下静脉，可促进将永久性起搏器导线植入三角肌胸大肌沟内的头静脉。以导丝作为标记进行切口，很容易找到三角肌胸大肌沟内的头静脉。一根或多根起搏导线可沿导丝插入，或使用套在导丝上推进的鞘管插入。对32例患者进行了该操作，28例手术（DDD型15例、VDD型9例和WI型4例）的起搏导线通过头静脉插入，无并发症发生。
