104 results match your criteria Cutdown Cephalic Vein


Different venous approaches for implantation of cardiac electronic devices. A network meta-analysis.

Pacing Clin Electrophysiol 2022 Jun 18;45(6):717-725. Epub 2022 May 18.

Cardiology Department, Athens General Hospital "G. Gennimatas", Athens, Greece.

Objectives: Many of the complications arising from cardiac device implantation are associated to the venous access used for lead placement. Previous analyses reported that cephalic vein cutdown (CVC) is safer but less effective than subclavian vein puncture (SVP). However, comparisons between these techniques and axillary vein puncture (AVP) - guided either by ultrasound or fluoroscopy - are lacking. Read More

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Comparison of success rate and time to obtain venous cannulation by cutdown technique at 3 locations using canine cadavers.

J Vet Emerg Crit Care (San Antonio) 2022 May 2;32(3):356-364. Epub 2022 Feb 2.

Hospital for Small Animals, The Royal (Dick) Veterinary School, The University of Edinburgh, Edinburgh, UK.

Objective: To compare the success rates and time taken to cannulate the jugular, cephalic, and lateral saphenous veins using a cutdown technique by personnel with 4 different levels of experience.

Design: Prospective ex vivo study.

Setting: Veterinary university teaching hospital. Read More

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Perioperative complications after pacemaker implantation: higher complication rates with subclavian vein puncture than with cephalic vein cutdown.

J Interv Card Electrophysiol 2022 Feb 2. Epub 2022 Feb 2.

University Witten/Herdecke, Witten, Germany.

Purpose: The cephalic vein cutdown (CVC) and the subclavian puncture (SP) is the most common access for pacemaker implantation. The purpose of this study was to compare the peri-/postoperative complications of these approaches.

Methods: A retrospective analysis of the quality assurance data of the state of North Rhine-Westphalia was performed to evaluate the peri-/postoperative complications of first pacemaker implantation according to the venous access. Read More

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February 2022

A novel homemade simulator for training and assessing competency of totally implantable venous access port implantation via venous cutdown.

J Chin Med Assoc 2022 02;85(2):259-262

Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Total implantable venous access port (TIVAP) by cephalic vein cutdown (CVCD) is one of the first procedures surgery residents can be performed independently under supervision. There is currently a lack of affordable simulators for teaching and assessing TIVAP competency to improve patient safety. A panel of 10 experts divided the TIVAP by CVCD procedure into 9 steps. Read More

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February 2022

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

J Arrhythm 2021 Dec 26;37(6):1506-1511. Epub 2021 Sep 26.

Department of Cardiology Westmead Hospital Sydney New South Wales Australia.

We reviewed the different approaches used for central vein access during insertion of cardiac implantable electronic devices. The benefits and hazards of each approach (cephalic vein cutdown, axillary vein cannulation using venography and ultrasound) are discussed. Each approach has its advantages and hazards that need to be considered for the individual patient and balanced against the skills of the operator. Read More

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December 2021

Axillary vein access for antiarrhythmic cardiac device implantation: a literature review.

J Cardiovasc Med (Hagerstown) 2021 04;22(4):237-245

Cardiology Division, Ospedale Provinciale AREA VASTA 3, Macerata, Italy.

The current narrative review provides an update of available knowledge on venous access techniques for cardiac implantable electronic device implantation, with a focus on axillary vein puncture. Lower procedure-related and lead-related complications have been reported with extrathoracic vein puncture techniques compared with intrathoracic accesses. In particular, extrathoracic lead access through the axillary vein seems to be associated with lower complication incidence than subclavian vein puncture and higher success rate than cephalic vein cutdown. Read More

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Totally implantable venous access port insertion via open Seldinger approach of the internal jugular vein-a retrospective risk stratification of 500 consecutive patients.

Langenbecks Arch Surg 2021 May 7;406(3):903-910. Epub 2021 Feb 7.

Department of General, Visceral and Transplant Surgery, University Hospital Münster, Waldeyerstrasse 1, 48149, Münster, Germany.

Purpose: Modern oncological treatment algorithms require a central venous device in form of a totally implantable venous access port (TIVAP). While most commonly used techniques are surgical cutdown of the cephalic vein or percutaneous puncture of the subclavian vein, there are a relevant number of patients in which an additional strategy is needed. The aim of the current study is to present a surgical technique for TIVAP implantation via an open Seldinger approach of the internal jugular vein and to characterize risk factors, associated with primary failure as well as short- (< 30 days) and long-term (> 30 days) complications. Read More

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[Autopneumonectomie. A Forgotten Disease].

Pneumologie 2020 Jun 17;74(6):371-373. Epub 2020 Jun 17.

Abteilung für Kardiologie, Rhythmologie und konservative Intensivmedizin, Augusta-Krankenhaus Düsseldorf, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf.

History:  An 80-year old female was referred to our hospital with left internal carotid artery stenosis and a childhood history of hemoptysis.

Investigations And Diagnosis:  The ECG showed 2nd degree Mobitz atrio-ventricular block. The chest x-ray and computerized tomography identified a shift of the mediastinum and the heart to the left. Read More

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Subclavian and Axillary Vein Access Versus Cephalic Vein Cutdown for Cardiac Implantable Electronic Device Implantation: A Meta-Analysis.

JACC Clin Electrophysiol 2020 06 16;6(6):661-671. Epub 2020 Mar 16.

Kansas City Heart Rhythm Institute and Research Foundation, Kansas City, Kansas, USA.

Objectives: This study sought to evaluate the efficacy and safety of venous access techniques for cardiac implantable electronic device (CIED) implantation.

Background: Minimally invasive transvenous access is a fundamental step during implantation of CIEDs. However, the preferred venous access is still subject to ongoing debate, and the decision depends on patient characteristics and operator experience. Read More

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Ultrasound-guided venipuncture for implantation of cardiac implantable electronic devices: A single-center, retrospective study.

Pacing Clin Electrophysiol 2020 07 3;43(7):713-719. Epub 2020 Jun 3.

Department of Surgery, Catholic University Hospital "A. Gemelli", Roma, Italy.

Background: The venous access for the insertion of permanent leads of cardiac implantable electronic devices is often achieved by venous cutdown of the cephalic vein, or by "blind" puncture of the subclavian vein using anatomical landmarks, or by fluoroscopy-assisted methods.

Methods: We have retrospectively analyzed our clinical experience to verify the feasibility, the safety, and efficacy of the adoption of ultrasound-guided puncture/cannulation of the axillary vein for this purpose.

Results: Nine hundred eighty-seven leads were placed during 548 consecutive procedures, accessing the axillary vein in the infraclavicular area using real-time ultrasound guidance. Read More

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A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications.

Anesthesiol Res Pract 2019 10;2019:6769506. Epub 2019 Dec 10.

Oslo University Hospital, Division of Emergencies and Critical Care, Department of Anaesthesiology, Postbox 4950 Nydalen, 0424 Oslo, Norway.

Background: Long-term venous access has become the standard practice for the administration of chemotherapy, fluid therapy, antibiotics, and parenteral nutrition. The most commonly used methods are percutaneous puncture of the subclavian and internal jugular veins using the Seldinger technique or surgical cutdown of the cephalic vein.

Methods: This study is based on a quality registry including all long-term central venous catheter insertion procedures performed in patients >18 years at our department during a five-year period. Read More

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December 2019

Unusual Venous Access for Device Implantation.

Am J Case Rep 2019 Oct 8;20:1482-1486. Epub 2019 Oct 8.

Division of Cardiovascular Medicine - Electrophysiology Section, Department of Medicine, SUNY (State University of New York) Downstate, Brooklyn, NY, USA.

BACKGROUND Cardiac implantable electronic devices (CIED) are mainstay therapy for a variety of patients with bradyarrhythmia as well as those at risk of sudden cardiac death and heart failure. At present, commonly used venous access are axillary, cephalic cutdown, and subclavian puncture. However, there are situations when these approaches cannot be employed because cannulation is not possible due to small size, spasm, absence, or occlusion of the vein. Read More

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October 2019

Ultrasound-based prediction of cephalic vein cutdown success prior to totally implantable venous access device placement.

J Vasc Surg Venous Lymphat Disord 2019 11 5;7(6):865-869.e1. Epub 2019 Sep 5.

Division of Digestive Surgery, University Hospital of Geneva and Faculty of Medicine, Geneva, Switzerland.

Background: Surgical venous cutdown is a method for totally implantable venous access device (TIVAD) insertion. The main drawback of this technique is its higher failure rate when compared with the percutaneous approach, which is mostly related to anatomic variations of the cephalic vein. The aim of this study was to assess preoperative ultrasound imaging as a tool to predict cephalic vein cutdown failure for TIVAD insertion. Read More

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November 2019

[Autopneumonectomie. A Forgotten Disease].

Dtsch Med Wochenschr 2019 08 27;144(17):1209-1211. Epub 2019 Aug 27.

Abteilung für Kardiologie, Rhythmologie und konservative Intensivmedizin, Augusta-Krankenhaus Düsseldorf, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf.

History: An 80-year old female was referred to our hospital with left internal carotid artery stenosis and a childhood history of hemoptysis.

Investigations And Diagnosis: The ECG showed 2nd degree Mobitz atrio-ventricular block. The chest x-ray and computerized tomography identified a shift of the mediastinum and the heart to the left. Read More

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Cephalic vein portacath placement technique.

J Visc Surg 2019 Jun 29;156(3):239-243. Epub 2019 May 29.

Service de chirurgie digestive et endocrinienne, CHU de Bordeaux, Haut-Lévêque, avenue du Haut-Lévêque, 33600 Pessac, France.

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Cephalic vs. subclavian lead implantation in cardiac implantable electronic devices: a systematic review and meta-analysis.

Europace 2019 Jan;21(1):121-129

Division Clinical Electrophysiology, Department of Cardiology, University Hospital Frankfurt, Theodor-Stern-Kai 7, Frankfurt am Main, Germany.

Aims: Cephalic vein cutdown (CVC) and subclavian puncture (SP) are widely used techniques for lead insertion of cardiac implantable electronic devices (CIEDs). Whether one technique is superior to the other, is still being debated. The purpose of this study was to compare CVC vs. Read More

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January 2019

A Prospective, Comparative Evaluation on Totally Implantable Venous Access Devices by External Jugular Vein Cephalic Vein Cutdown.

Am Surg 2018 Jun;84(6):841-843

The request for totally implantable venous access devices (TIVADs) has rapidly grown up through the last decades. TIVADs are implanted by direct vein puncture or by surgical approach with vein cutdown. The authors present a comparative prospective study evaluating external jugular vein (EJV) and cephalic vein cutdown techniques. Read More

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A novel technique for ligation of the cephalic vein reduces hemorrhaging during a two-in-one insertion of dual cardiac device leads.

Indian Pacing Electrophysiol J 2018 Jul - Aug;18(4):152-154. Epub 2018 Apr 13.

Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Japan.

The cutdown technique for the cephalic vein is a common access route for transvenous cardiac device leads (TVLs), and sometimes one cephalic vein can accomodate two TVLs. We examined a novel ligation technique to balance the hemostasis and lead maneuverability for this two-in-one insertion. A total of 22 patients scheduled for cardiac device implantations with two or more leads were enrolled. Read More

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Vasoconstrictive responses of the cephalic vein during first-time cardiac implantable electronic device placement.

Folia Morphol (Warsz) 2018;77(3):464-470. Epub 2018 Jan 18.

Department of Cardiology, Medical University of Warsaw, Poland, Banacha 1a, Warsaw, Poland.

Background: During cardiac implantable electronic device (CIED) implantation procedures cardiac leads have been mostly introduced transvenously. The associated injury to the selected vessel and adjacent tissues may induce reflex vasoconstriction. The aim of the study was to assess the incidence of cephalic vein (CV) vasoconstriction during first-time CIED implantation. Read More

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Percutaneous Cut-Down Technique for Indwelling Port Placement.

Am Surg 2017 Dec;83(12):1336-1342

The superiority of surgical cut-down of the cephalic vein versus percutaneous catheterization of the subclavian vein for the insertion of totally implantable venous access devices (TIVADs) is debated. To compare the safety and efficacy of surgical cut-down versus percutaneous placement of TIVADs. This is a single-institution retrospective cohort study of oncologic patients who had TIVADs implanted by 14 surgeons. Read More

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December 2017

Differences in Approaches and Outcomes of Defibrillator Lead Implants Between High-Volume and Low-Volume Operators: Results From the Pacemaker and Implantable Defibrillator Leads Survival Study ("PAIDLESS").

J Invasive Cardiol 2017 Dec;29(12):E184-E189

Director of Electrophysiology, NYU Winthrop Hospital, 212 Jericho Turnpike, Mineola, NY 11501 USA.

Objectives: The purpose of this study was to investigate the relationship between operator volume and implantable defibrillator lead failure and patient mortality at a single large implanting center.

Methods: This study analyzed the differences between high-volume and low-volume defibrillator implanters in the Pacemaker and Implantable Defibrillator Lead Survival Study ("PAIDLESS") between February 1, 1996 and December 31, 2011 at NYU Winthrop Hospital. "High-volume" was defined as performing ≥500 implants over the study period, while "low-volume" was defined as performing <500 implants. Read More

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December 2017

Axillary vein spasm during cardiac implantable electronic device implantation.

Folia Morphol (Warsz) 2016;75(4):543-549. Epub 2016 Nov 10.

Department of Cardiology, Medical University of Warsaw, Poland.

Background: The technique of axillary vein (AV) or subclavian vein (SV) puncture has become an important alternative to cephalic vein (CV) cutdown as an approach allowing cardiac lead introduction into the venous system during cardiac implantable electronic device (CIED) implantation procedures. Irrespective of the technique used, the injury associated with lead insertion may induce a reflex venous spasm that can even cause total venous obstruction. In order to assess the incidence of AV spasm during AV puncture, we analysed a total of 735 (382 in females and 353 in males; mean age 75 ± 11 years) de novo CIED implantation procedures involving transvenous lead insertion conducted between January 2014 and December 2015. Read More

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October 2018

Venous access and long-term pacemaker lead failure: comparing contrast-guided axillary vein puncture with subclavian puncture and cephalic cutdown.

Europace 2017 Jul;19(7):1193-1197

Alice Ho Miu Ling Nethersole Hospital, Hong Kong, People's Republic of China.

Aims: Existing data on the relationship between venous access and long-term pacemaker lead failure (PLF) are scarce and inconsistent. We aim to study the hypothesis that contrast-guided axillary vein puncture (AP) is better than subclavian puncture (SP) and similar to cephalic vein cutdown (CV) in the incidence of PLF and the success rate of AP is higher than CV.

Methods And Results: The case records of 409 patients with 681 implantable pacemaker leads were reviewed. Read More

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Venous cutdown versus the Seldinger technique for placement of totally implantable venous access ports.

Cochrane Database Syst Rev 2016 Aug 21(8):CD008942. Epub 2016 Aug 21.

Department of Medical Imaging, Princess Alexandra Hospital, 199 Ipswich Road, Brisbane, Queensland, Australia, 4102.

Background: Totally implantable venous access ports (TIVAPs) provide patients with a safe and permanent venous access, for instance in the administration of chemotherapy for oncology patients. There are several methods for TIVAP placement, and the optimal evidence-based method is unclear.

Objectives: To compare the efficacy and safety of three commonly used techniques for implanting TIVAPs: the venous cutdown technique, the Seldinger technique, and the modified Seldinger technique. Read More

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Evaluation of totally implantable central venous access devices with the cephalic vein cut-down approach: Usefulness of preoperative ultrasonography.

J Surg Oncol 2016 Jan 8;113(1):114-9. Epub 2015 Dec 8.

Department of Surgical Oncology, Nagasaki University Hospital, Nagasaki, Japan.

Background: The aims of this retrospective study, were to evaluate totally implantable central venous access device (TICVAD) implantation and to validate the efficacy of preoperative ultrasonography.

Methods: A total of 380 cases implanted with TICVADs were divided into four groups: cut-downs with ultrasonography (group A, n = 112); cut-downs without ultrasonography (group B, n = 37); venous puncture (group C, n = 122); and replacements using the existing catheter (group D, n = 109). Operation time, completion rate, and complications were compared. Read More

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January 2016

Clinical implications of cephalic vein morphometry in routine cardiac implantable electronic device insertion.

Folia Morphol (Warsz) 2015;74(4):458-64

Department of Cardiology, Medical University of Warsaw.

Background: Morphometric parameters of the venous vasculature constitute an important aspect in successful cardiac implantable electronic device (CIED) insertion. The purpose of this study was to present morpho-anatomical variations of the cephalic vein (CV) and their effect on the course of CIED implantation procedures, based on the patients from our centre.

Materials And Methods: We analysed contrast venography results obtained during first-time lead placement. Read More

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January 2015

Deltoid branch of thoracoacromial vein: a safe alternative entry vessel for intravenous port implantation.

Medicine (Baltimore) 2015 May;94(17):e728

From the Division of Thoracic and Cardiovascular Surgery (TWS, CFW, PJK, SYY, TCK, HCH, CYW), Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University; and Division of Chest and Critical care (JYF), Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Kweishan, Taoyuan, Taiwan.

An entry vessel is crucial for intravenous port implantation. A safe alternative entry vessel that can be easily explored is crucial for patients without feasible cephalic vein or for those who need port reimplantation because of disease relapse. In this study, we tried to analyze the safety and feasibility of catheter implantation via the deltoid branch of the thoracoacromial vein. Read More

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Low incidence of complications after cephalic vein cutdown for pacemaker lead implantation in children weighing less than 10 kilograms: A single-center experience with long-term follow-up.

Heart Rhythm 2015 Aug 23;12(8):1820-6. Epub 2015 Apr 23.

Referral Pacemaker Center, Clinical Center of Serbia, Belgrade, Serbia; University of Belgrade, School of Medicine, Belgrade, Serbia.

Background: Only a few studies on the cephalic vein cutdown technique for pacemaker lead implantation in children weighing ≤10 kg have been reported even though the procedure is widely accepted in adults.

Objective: The purpose of this study was to prove that cephalic vein cutdown for pacemaker lead implantation is a reliable technique with a low incidence of complications in children weighing ≤10 kg.

Methods: The study included 44 children weighing ≤10 kg with an endocardial pacemaker. Read More

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