Subclavian access using a three-dimensional electromagnetic cardiovascular navigation system: novel approach to access the venous system during device implant procedures.
We report a case in which a novel three-dimensional (3D) electromagnetic cardiovascular navigation system (MediGude™, St. Jude Medical, St. Paul, MN, USA) was used to create a 3D reconstruction of the axillary vein and its anatomic course to guide its successful puncture and cannulation. The MediGuide system's projection accuracy has proved to offer a level of precision that is sufficient to achieve axillary vein access. This highlights its enormous possibilities to obtain 3D venous system reconstruction with minimal fluoroscopic use when performing cardiac or even non-cardiac procedures.
Montreal Heart Institute/Université de Montréal, Montreal, QC, Canada.
Bernard
B
Thibault
St. Jude Medical, Sylmar, CA, USA.
Kyungmoo
K
Ryu
St. Jude Medical, Sylmar, CA, USA.
Amit
A
Cohen
Montreal Heart Institute/Université de Montréal, Montreal, QC, Canada.
Peter G
PG
Guerra
D001367:Axillary Vein / Q000000981:diagnostic imaging*; D006328:Cardiac Catheterization / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D010690:Phlebography; D000075082:Proof of Concept Study; D019919:Prosthesis Implantation / Q000379:methods*; D013350:Subclavian Vein / Q000000981:diagnostic imaging*