scholarly journals Axillary vein access using ultrasound guidance, Venography or Cephalic Cutdown—What is the optimal access technique for insertion of pacing leads?

2021 ◽  
Author(s):  
Lloyd Davis ◽  
William Chik ◽  
Saurabh Kumar ◽  
Gopal Sivagangabalan ◽  
Stuart P. Thomas ◽  
...  
Keyword(s):  
Ultrasound Guidance ◽  
Axillary Vein ◽  
Vein Access ◽  
Access Technique ◽  
Pacing Leads

The value of real-time ultrasound-guidance for definite placement of a right supraclavicular subclavian central venous catheter

2021 ◽  
pp. 112972982199853
Author(s):  
Jens M Poth ◽  
Stefan F Ehrentraut ◽  
Se-Chan Kim
Keyword(s):  
Ultrasound Guidance ◽  
Venous Catheter ◽  
Needle Insertion ◽  
Major Surgery ◽  
Axillary Vein ◽  
Central Venous ◽  
Supraclavicular Fossa ◽  
The Right ◽  
High Index Of Suspicion ◽  
Insertion Process

Central venous catheters (CVC) are widely used in critically ill patients and in those undergoing major surgery. Significant adverse events, such as pneumothorax and hemothorax, can be caused by needle insertion during CVC insertion. CVC misplacement is less often described, yet equally important, as it can lead to deleterious complications. Here, we describe a case in which misplacement of a guidewire following infraclavicular puncture of the right axillary vein was detected by continuous ultrasound employing the right supraclavicular fossa view. Utilizing this ultrasound view, the insertion approach to the vessel was changed and correct CVC placement could be achieved. While ultrasound guidance is widely accepted for vessel puncture, this case demonstrates the value of continuous ultrasound guidance for the entire process of CVC insertion: vessel puncture, correct guidewire advancement, catheter placement, and exclusion of complications such as pneumothorax. It also shows that there should be a high index of suspicion for guidewire misplacement, even after successful venipuncture. In conclusion, ultrasound protocols covering the complete CVC insertion process should be implemented into current clinical practice.

scholarly journals Self-taught axillary vein access without venography for pacemaker implantation: prospective randomized comparison with the cephalic vein access

EP Europace ◽  
2017 ◽  
Vol 19 (12) ◽  
pp. 2001-2006 ◽  
Author(s):  
Fabien Squara ◽  
Julien Tomi ◽  
Didier Scarlatti ◽  
Guillaume Theodore ◽  
Pamela Moceri ◽  
...  
Keyword(s):  
Pacemaker Implantation ◽  
Cephalic Vein ◽  
Axillary Vein ◽  
Vein Access

Axillary vein access for permanent pacemaker and implantable cardioverter defibrillator implantation: Fluoroscopy compared to ultrasound

2020 ◽  
Vol 43 (6) ◽  
pp. 566-572 ◽  
Author(s):  
Federico Migliore ◽  
Luisa Fais ◽  
Riccardo Vio ◽  
Manuel De Lazzari ◽  
Alessandro Zorzi ◽  
...  
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Permanent Pacemaker ◽  
Axillary Vein ◽  
Cardioverter Defibrillator ◽  
Implantable Cardioverter Defibrillator Implantation ◽  
Vein Access

Ultrasound-Guided Arm Ports: Indications, Techniques, and Management

2015 ◽  
Vol 20 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Pierre Yves Marcy ◽  
Alexis Lacout ◽  
Juliette Thariat ◽  
Andrea Figl ◽  
Jacques Merckx
Keyword(s):  
Venous Access ◽  
Us Guidance ◽  
Vein Access ◽  
Chest Port ◽  
Anatomic Variants ◽  
Access Technique ◽  
Central Catheters ◽  
Venous Access Devices ◽  
Port Catheters

AbstractPurpose: Various venous access devices are available, including peripheral venous lines, peripherally inserted central catheters lines, and subcutaneous port catheters. The latter provides medium-to long-term venous access and includes medical devices that can be inserted either on the chest (chest ports) or in the arm (arm ports). We report the techniques, dedicated indications, and main complications of arm port insertion using the ultrasonography (US) guidance method.Methods: Tips and tricks of percutaneous real-time US-guided vein access technique in the arm are reviewed, and a brief literature review is reported.Results: Technical feasibility is almost 99%. US guidance allows depiction of anatomic variants, reduces the number of failed attempts, and increases the technical access rate compared with venography-guided access. Comparison of arm ports to chest ports reveals a higher global complication rate. We also report typical (mechanical) complications and dedicated indications, including contraindications to chest port insertion and selected patients for whom chest ports are not possible (eg, those with breast, head, and neck cancer; obesity; cosmesis; and requiring upright position).Conclusions: Arm port insertion under US guidance is safe and effective, and has dedicated indications.

scholarly journals 059 Pacemaker implantation using real-time ultrasound guidance for subclavian vein access: Abstract 059 Figure 1

Heart ◽  
2012 ◽  
Vol 98 (Suppl 1) ◽  
pp. A35.1-A35
Author(s):  
E L Darlington ◽  
D Rittoo ◽  
B Patel ◽  
K Choi
Keyword(s):  
Real Time ◽  
Subclavian Vein ◽  
Ultrasound Guidance ◽  
Pacemaker Implantation ◽  
Vein Access

BEDSIDE CANNULATION OF THE AXILLARY VEIN UNDER ULTRASOUND GUIDANCE

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 209S
Author(s):  
Vipin Malik ◽  
Harish Bhaskar ◽  
William Pascal ◽  
Kabu Chawla ◽  
Yizhak Kupfer ◽  
...  
Keyword(s):  
Ultrasound Guidance ◽  
Axillary Vein

scholarly journals Subclavian and Axillary Vein Access Versus Cephalic Vein Cutdown for Cardiac Implantable Electronic Device Implantation

2020 ◽  
Vol 6 (6) ◽  
pp. 661-671 ◽  
Author(s):  
Varunsiri Atti ◽  
Mohit K. Turagam ◽  
Jalaj Garg ◽  
Scott Koerber ◽  
Aakash Angirekula ◽  
...  
Keyword(s):  
Electronic Device ◽  
Cephalic Vein ◽  
Axillary Vein ◽  
Cardiac Implantable Electronic Device ◽  
Device Implantation ◽  
Vein Access

scholarly journals Double axillary vein variation diagnosed with ultrasound guidance during infraclavicular nerve block intervention

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227495
Author(s):  
Başak Altıparmak ◽  
Melike Korkmaz Toker ◽  
Ali İhsan Uysal ◽  
Semra Gümüş Demirbilek
Keyword(s):  
Nerve Block ◽  
Ultrasound Guidance ◽  
Peripheral Nerve Block ◽  
Anaesthetic Management ◽  
Detailed Knowledge ◽  
Axillary Vein ◽  
Nerve Blocks ◽  
Different Types ◽  
Axillary Anatomy ◽  
Peripheral Block

The use of ultrasound guidance increases the safety of peripheral block interventions by allowing anaesthesiologists to simultaneously see the position of block needle, the targeted nerves and surrounding vessels. In this report, we represented three patients diagnosed with double axillary vein variation with ultrasound guidance during infraclavicular nerve block intervention. The patients were scheduled for different types of upper limb surgeries. All patients received infraclavicular nerve block for anaesthetic management. A double axillary vein variation was diagnosed with ultrasound during block interventions. Hydro-location technique was used in all cases and the procedures were completed uneventfully. In the current literature, there is limited number of reports concerning double axillary vein variation. Detailed knowledge of the axillary anatomy is important to avoid complications such as intravascular injection during peripheral nerve block interventions. The use of ultrasound guidance and hydro-location technique should be considered for nerve blocks, especially in the axillary area.

scholarly journals A Sound Method for Axillary Vein Access

2020 ◽  
Author(s):  
Martin van Zyl ◽  
Abhishek Deshmukh
Keyword(s):  
Venous Access ◽  
Axillary Vein ◽  
Ultrasound Guided ◽  
Vein Access

Ultrasound guided venous access Is important to minimize pneumothorax and unnecessary incisions in patients undergoing device implant.

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