A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture
Objective: Widely used method is blinded puncture of subclavian vein, but the complication rate is high in this method. In this study, we aimed to demonstrate the effect of roadmap use during implantation of permanent pacemaker on the success rate, speed of puncture and complications. Methods: The s...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2019-01-01
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| Series: | International Journal of the Cardiovascular Academy |
| Subjects: | |
| Online Access: | http://www.ijcva.com/article.asp?issn=2405-8181;year=2019;volume=5;issue=3;spage=86;epage=91;aulast=Gunes |
| _version_ | 1797713886731829248 |
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| author | Hakan Gunes Mahmut Tuna Katırcıbası Akif Serhat Balcıoğlu Ekrem Aksu Abdullah Sokmen Gulizar Sokmen Murat Kerkutluoglu Ahmet Çağrı Aykan Sami Ozgul |
| author_facet | Hakan Gunes Mahmut Tuna Katırcıbası Akif Serhat Balcıoğlu Ekrem Aksu Abdullah Sokmen Gulizar Sokmen Murat Kerkutluoglu Ahmet Çağrı Aykan Sami Ozgul |
| author_sort | Hakan Gunes |
| collection | DOAJ |
| description | Objective: Widely used method is blinded puncture of subclavian vein, but the complication rate is high in this method. In this study, we aimed to demonstrate the effect of roadmap use during implantation of permanent pacemaker on the success rate, speed of puncture and complications. Methods: The study was designed as a prospective randomized controlled study. Totally, 125 devices were implanted to the patients included in the study, and 518 punctures were performed for implantation of these devices. 186 punctures were performed in roadmap group and 332 punctures were performed in conventional group. Two groups were compared with regard to clinical and demographic features, speed and success of puncture and complications. Results: Baseline characteristics were similar between groups. Median duration of intervention for each puncture was 27 (15/46) s in roadmap group and 56 (30/100) s in conventional group. The number of attempts for a successful puncture was detected as 1 (1/2) in roadmap group and 2 (2/4) in conventional group. Arterial puncture incidence was 10.3% in roadmap group and 37% in conventional group (P < 0.001 for all). Considering complications, the incidence of pneumothorax and intramuscular puncture was seen lower significantly (P = 0.046 and P = 0.006, respectively). Conclusion: Number of attempts for successful puncture, time needed for successful puncture, number of arterial puncture and complication rate was significantly lower in patients undergoing pacemaker implantation by roadmap technique. Based on these data, roadmap technique may take the place of conventional method of puncture. |
| first_indexed | 2024-03-12T07:43:30Z |
| format | Article |
| id | doaj.art-587df5f94a3b4eb8adedb95e5dd0d923 |
| institution | Directory Open Access Journal |
| issn | 2405-8181 2405-819X |
| language | English |
| last_indexed | 2024-03-12T07:43:30Z |
| publishDate | 2019-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | International Journal of the Cardiovascular Academy |
| spelling | doaj.art-587df5f94a3b4eb8adedb95e5dd0d9232023-09-02T21:08:34ZengGalenos Publishing HouseInternational Journal of the Cardiovascular Academy2405-81812405-819X2019-01-0153869110.4103/IJCA.IJCA_10_19A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein punctureHakan GunesMahmut Tuna KatırcıbasıAkif Serhat BalcıoğluEkrem AksuAbdullah SokmenGulizar SokmenMurat KerkutluogluAhmet Çağrı AykanSami OzgulObjective: Widely used method is blinded puncture of subclavian vein, but the complication rate is high in this method. In this study, we aimed to demonstrate the effect of roadmap use during implantation of permanent pacemaker on the success rate, speed of puncture and complications. Methods: The study was designed as a prospective randomized controlled study. Totally, 125 devices were implanted to the patients included in the study, and 518 punctures were performed for implantation of these devices. 186 punctures were performed in roadmap group and 332 punctures were performed in conventional group. Two groups were compared with regard to clinical and demographic features, speed and success of puncture and complications. Results: Baseline characteristics were similar between groups. Median duration of intervention for each puncture was 27 (15/46) s in roadmap group and 56 (30/100) s in conventional group. The number of attempts for a successful puncture was detected as 1 (1/2) in roadmap group and 2 (2/4) in conventional group. Arterial puncture incidence was 10.3% in roadmap group and 37% in conventional group (P < 0.001 for all). Considering complications, the incidence of pneumothorax and intramuscular puncture was seen lower significantly (P = 0.046 and P = 0.006, respectively). Conclusion: Number of attempts for successful puncture, time needed for successful puncture, number of arterial puncture and complication rate was significantly lower in patients undergoing pacemaker implantation by roadmap technique. Based on these data, roadmap technique may take the place of conventional method of puncture.http://www.ijcva.com/article.asp?issn=2405-8181;year=2019;volume=5;issue=3;spage=86;epage=91;aulast=GunesDefibrillatorpacemakerroadmapsubclavian puncture |
| spellingShingle | Hakan Gunes Mahmut Tuna Katırcıbası Akif Serhat Balcıoğlu Ekrem Aksu Abdullah Sokmen Gulizar Sokmen Murat Kerkutluoglu Ahmet Çağrı Aykan Sami Ozgul A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture International Journal of the Cardiovascular Academy Defibrillator pacemaker roadmap subclavian puncture |
| title | A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture |
| title_full | A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture |
| title_fullStr | A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture |
| title_full_unstemmed | A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture |
| title_short | A Safe and rapid technique for pacemaker İmplantation: Roadmap-guided subclavian vein puncture |
| title_sort | safe and rapid technique for pacemaker implantation roadmap guided subclavian vein puncture |
| topic | Defibrillator pacemaker roadmap subclavian puncture |
| url | http://www.ijcva.com/article.asp?issn=2405-8181;year=2019;volume=5;issue=3;spage=86;epage=91;aulast=Gunes |
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