Feasibility and safety of new "blind" axillary vein puncture technique in pacemaker implantation
10.3760/cma.j.issn.0253-3758.2019.09.016
- VernacularTitle: 新的"盲法"腋静脉穿刺术在起搏器植入术中的有效性和安全性
- Author:
Junmeng ZHANG
1
;
Zefeng WANG
;
Haiyan LI
;
Yongquan WU
Author Information
1. Department of Cardiology, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
- Publication Type:Journal Article
- Keywords:
Pacemaker, artificial;
Axillary vein;
Punctures
- From:
Chinese Journal of Cardiology
2019;47(9):737-741
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and safety of a newly developed simple and rapid axillary vein puncture technique based on the surface landmarks for pacemaker implantation.
Methods:From January to November 2018, we enrolled 110 patients who underwent pacemaker implantation in Beijing Anzhen Hospital. Basic clinical characteristics, such as gender, age, major diagnosis, type of pacemaker, and His-purkinje system pacing, were collected. The success rate of this axillary vein puncture technique, complications, and technical parameters of present puncture method were analyzed.
Results:There were 58 (52.7%) male patients in this cohort and the average aged was (70.26±10.45) years old. This "blind" axillary vein puncture method was successful in 105 out of 110 patients (95.5%). The relevant puncture-related parameters included: the distance between points "a and b" was (3.89±0.40) cm, the first angle α was (25.84±5.54)° and the second angle β was (66.18±10.26)°. There were no puncture-related complications, such as hematoma, pneumothorax and hemothorax.
Conclusion:The new "blind" axillary vein puncture approach is a simple, effective and safe technique for pacemaker implantation, which is easy to learn and practice and suitable for promotion.
