Palo Alto Medical Foundation-Sutter Health, Palo Alto, California, USA.
Silicon Valley Cardiology, Sequoia Hospital, Redwood City, California, USA.
J Cardiovasc Electrophysiol. 2023 Apr;34(4):1033-1036. doi: 10.1111/jce.15860. Epub 2023 Feb 23.
Vascular access is required for most cardiac electrophysiology procedures. Over the past 2 decades, ultrasound guidance has increased in utilization as the primary method for assisting operators in gaining access to cardiac implantable electronic device (CIED) implantation.
Ultrasound guidance using a technique that includes both short-axis and long-axis views combined with a twisting needle motion after maximal tenting provides an extremely safe and reproducible technique for vascular access for all CIED procedures.
In this manuscript and accompanying videos, a step-by-step guide is explained for optimal ultrasound-guided visualization and needle maneuver technique to maximize safety and efficiency for vascular access in all CIED procedures.
大多数心脏电生理程序都需要血管通路。在过去的 20 年中,超声引导作为一种主要方法,帮助操作者进入心脏植入式电子设备(CIED)植入部位,其使用量不断增加。
超声引导采用一种技术,包括短轴和长轴视图,并在最大帐篷后结合扭转针运动,为所有 CIED 程序的血管通路提供了一种极其安全且可重复的技术。
在本文和相关视频中,我们详细说明了最佳超声引导可视化和针操作技术的分步指南,以最大限度地提高所有 CIED 程序中血管通路的安全性和效率。