Document Detail

Blind axillar venous access.
MedLine Citation:
PMID:  10456639     Owner:  NLM     Status:  MEDLINE    
The axillary vein has been suggested as an alternate site for venous access to avoid the "subclavian crush phenomenon. " Many techniques have been used to access this structure. They include complicated anatomical landmarks, contrast venography, Doppler, and ultrasound. A simple technique using the basic anatomical landmark of the deltopectoral groove and a blind venous stick has been used successfully in 165 of 168 consecutive pacemaker and ICD procedures; there were only three failures. These required an alternate approach. With a thorough knowledge of the regional anatomy, the axillary vein can be safely used as a primary site of venous access.
P H Belott
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  22     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-10-13     Completed Date:  1999-10-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1085-9     Citation Subset:  IM    
Pacemaker and Arrhythmia Center, El Cajon, California, USA.
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MeSH Terms
Axillary Vein*
Defibrillators, Implantable*
Electrodes, Implanted
Pacemaker, Artificial*
Subclavian Vein / injuries

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