Department of Cardiology, Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219, USA
Department of Cardiology, Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219, USA.
Europace. 2015 Jul;17(7):1157-60. doi: 10.1093/europace/euv066. Epub 2015 May 11.
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.
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.
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.
腋静脉常用于植入心脏起搏器和除颤器导线。我们描述了一种利用尾侧透视视图来辅助腋静脉入路的技术，无需使用造影剂。
在我们机构的 1 年期间，检查了使用该技术进行的设备植入或升级的结果。在 229 例连续植入的患者中，只有 9 例患者需要使用替代技术进行导线植入。没有气胸的病例。
尾侧视图可最佳地观察到肺的前边界和第一肋骨。这种简单的技术增加了植入者对进针深度相对于肺和第一肋骨的认识和控制，从而降低了气胸的风险。
