Cephalic vein guide wire technique for implantation of permanent pacemakers.
This report describes a modified cephalic vein guide wire technique for the implantation of permanent pacemakers. The procedure was attempted in 11 patients only when pacing leads could not be passed directly into the exposed cephalic vein. Eight bipolar DDD (two leads), two unipolar DDD, and one bipolar VVI (one lead) pulse generators were implanted successfully, with only one relatively minor complication. The cephalic vein guide wire technique provides easy access to the subclavian vein and may allow implantation of most single- and dual-chamber pacemakers with only a cephalic vein cutdown.
Ong
L S
LS
Department of Medicine, Genesse Hospital, Rochester, NY 14607.
Barold
S S
SS
Lederman
M
M
Falkoff
M D
MD
Heinle
R A
RA
D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000098:blood supply*; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D004106:Dilatation / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013350:Subclavian Vein; D014680:Veins; D014683:Vena Cava, Superior