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[Insertion of permanent endocardial pacing electrodes through the subclavian vein: results of a five-year period (author's transl)].

Authors
  • Zwirner, K
Type
Published Article
Journal
Zeitschrift für Kardiologie
Publication Date
Dec 01, 1980
Volume
69
Issue
12
Pages
835–839
Identifiers
PMID: 7281866
Source
Medline
License
Unknown

Abstract

559 permanent pacemaker implantations were accomplished between October 1, 1974, and September 30, 1979: 542 through the right subclavian vein, 10 through the left subclavian vein and 7 through the jugular veins. We prefer to make the incision first, then inserting the needle through the opened wound under fluoroscopic control. Pneumothorax was noted in 5 cases = 0.9 percent, only 2 patients required chest tubes, there were no permanent sequelae. Dislocation of the electrodes occurred in 6.6 percent, in the last 12 months only in 4.7 percent, using primarily leads with shoulder tip. This method is contraindicated in patients with chronic emphysema with bronchial obstruction, retrosternal struma or subclavian thrombosis. We have found that this technique, carefully applied, affords a rapid, safe, relatively atraumatic method of permanent transvenous electrode placement.

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