[Percutaneous approach in the use of subclavian vein in pacemaker implantation].
METHODS
We analyzed the complications of 1729 pacemakers implants (from October 1980 to December 1992) divided according to the way of leads insertion. The approaches from the subclavian vein was used in 1220 cases, the cephalic vein was used in 431 implants and the external jugular vein in 78.


RESULTS
Major complications were: pocket bleeding (108 cases), pocket erosion (15 cases), infection (2 cases), lead fracture (5 cases), lead dislodgement (20 cases), pneumothorax (4 cases, only for subclavian puncture). There were no significative differences in the complications between the three approaches. On the other hand, the subclavian puncture reduces the time of the procedure, is less traumatic and allows to insert and to position several leads.


CONCLUSIONS
We suggest to use the subclavian vein approach as first choice to implant one or more leads, being this way safe and fast.
Marinoni
G
G
Divisione di Cardiologia, IRCCS Policlinico S. Matteo, Pavia.
Broglia
P
P
Bruno
N
N
Perotti
R
R
Bosatra
C
C
Montemartini
C
C
D005069:Evaluation Studies as Topic; D006801:Humans; D007601:Jugular Veins; D010138:Pacemaker, Artificial; D011677:Punctures; D013350:Subclavian Vein
Utilizzo della vena succlavia per via percutanea per impianto di pacemaker.