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The Annals of Thoracic Surgery, Vol 41, 438-439, Copyright © 1986 by The Society of Thoracic Surgeons
S Furman
Two hundred sixty-eight dual-chamber pacemaker implants using polyurethane
leads for atrium and ventricle were analyzed for the vein of entry for both
atrial and ventricular leads. The cephalic vein was used for both leads in
61.2%, the external jugular vein for both leads in 8.6%, both veins in
7.8%, and the subclavian vein alone in 16.4%. The total for venous cutdown
alone was 77.6%. There were no complications relevant to the vein of
approach for the venous cutdown leads, but there was one pneumothorax
requiring thoracic intubation for the subclavian puncture route. Venous
cutdown is satisfactory for dual- chamber pacing requiring two lead
systems.
ARTICLES
Venous cutdown for pacemaker implantation
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