Introduction of permanent cardiac stimulation/defibrillation leads via the retro-pectoral veins.
When the cephalic vein route is not easily accessible for the introduction of permanent stimulation/defibrillation leads, retro-pectoral veins can be looked for, which are usually present and suitable in most patients. As with the cephalic vein route, it is a safer approach than direct subclavian vein puncture. Moreover, using a guidewire and a split introducer increases the rate of successful cannulation.
Camous
J P
JP
Department of Cardiology, Faculty of Medicine, University of Nice Sophia Antipolis, France. camous.jp@chu-nice.fr
Raybaud
F
F
Lesto
I
I
Benoit
P H
PH
D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006801:Humans; D010138:Pacemaker, Artificial; D016748:Venous Cutdown / Q000379:methods*