title: Modified technique for dual chamber pacemaker insertion.
abstract: Insertion of a permanent dual chamber pacemaker by the Seldinger technique usually requires two needle punctures of the vein or the use of a large introducer, thus increasing the risks associated with this procedure. We describe a modified technique using a relatively small introducer and a single subclavian vein puncture that we have found to be safe and simple to perform.
authors.affiliation: Department of Surgery, Union Memorial Hospital, Baltimore.
authors.forename: P M
authors.initials: PM
authors.lastname: Guidera
authors.forename: W H
authors.initials: WH
authors.lastname: Howard
authors.forename: F J
authors.initials: FJ
authors.lastname: Sutton
authors.forename: G L
authors.initials: GL
authors.lastname: Sager
mesh_terms: D006801:Humans; D008722:Methods; D010138:Pacemaker, Artificial; D013350:Subclavian Vein