title: Double target method (double marker-guided extrathoracic introducer insertion).
abstract: Incidence of damage to pacemaker and implantable cardioverter defibrillator leads is an emerging problem that should be prevented. The extrathoracic venipuncture approach has been suggested as a technique for venous access to avoid the problem. This report describes the method of double marker-guided venipuncture of extrathoracic subclavian and/or axillary vein. This approach achieves definite, safe, and speedy extrathoracic venipuncture and may be especially suitable for multiple lead placement for cardiac resynchronization therapy.
authors.affiliation: The Fukuyama Cardiovascular Hospital, Fukuyama, Hiroshima, Japan. tkawakami-ind@umin.ac.jp
authors.forename: Tohru
authors.initials: T
authors.lastname: Kawakami
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ichinose
mesh_terms: D000368:Aged; D001367:Axillary Vein / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization / Q000379:methods*; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D008953:Models, Anatomic; D010138:Pacemaker, Artificial; D018962:Phlebotomy / Q000379:methods*; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D016896:Treatment Outcome