Journal of Arrhythmia
Online ISSN : 1883-2148
Print ISSN : 1880-4276
Short Report
Safety and Effectiveness of Placement of Pacemaker Leads for Cardiac Resynchronization Therapy in the Axillary Vein by Double Target-guided Venipuncture
Toru KawakamiSeiichi HarutaHiroki KounoHideo TakebayashiHiroshi AkanumaKenzou OkamotoNorihiko OhashiShinji SaharaJun IdaRyo YamazatoTakahiro TaguchiSyougo ObataSyougo MukaiTadayuki Shimakura
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2006 Volume 22 Issue 1 Pages 44-47

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Abstract
Background: The increasing incidence of damage to pacemaker leads for cardiac resynchronization therapy (CRT) 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. Methods and Results: 10 patients had pacemaker lead placement for CRT using the double target method. The lead was inserted in the extrathoracic portion of the subclavian and/or axillary veins without complications in all of the patients. Conclusion: This approach achieves accurate, safe, and speedy extrathoracic venipuncture and is especially suitable for multiple lead placements for CRT.
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© 2006 Japanese Heart Rhythm Society
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