Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices
Background: Cardiovascular implantable electronic devices (CIED) are life-saving devices, but may lead to puncture-related complications during implantation. Aim: The aim of this study was to compare the success and complications of the subclavian venous puncture under the guidance of fluoroscopy, v...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Medical Sciences |
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| Online Access: | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2022;volume=42;issue=2;spage=81;epage=86;aulast=Kumar |
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| author | AshokKumar Khandy Aashaq Hussain TauseefNabi Ashish Kumar Golwara Ajeet Kumar Singh |
| author_facet | AshokKumar Khandy Aashaq Hussain TauseefNabi Ashish Kumar Golwara Ajeet Kumar Singh |
| author_sort | AshokKumar |
| collection | DOAJ |
| description | Background: Cardiovascular implantable electronic devices (CIED) are life-saving devices, but may lead to puncture-related complications during implantation. Aim: The aim of this study was to compare the success and complications of the subclavian venous puncture under the guidance of fluoroscopy, venography, and Doppler. Methods: This was a prospective observational study conducted for one year at a tertiary health center in North India. We studied the clinical profile, success, and complications in three puncture techniques for CIED lead implantation in 75 adult patients of >18 years of age, randomized in three equal groups of 25 participants. Results: The mean age was 66.6 ± 15.6 years, with the majority being males. The left-sided approach for lead implantation was common (84%). Pacemakers were most commonly implanted CIED devices. The overall success of punctures was 100% each in Doppler and venography group, and 92% in the fluoroscopic-guided venous puncture group. Success in the first attempt was observed in 48% in the Doppler group and 24% each in the fluoroscopic and venographic group. There were total of 12 complications, the most common were arterial puncture (10.7%), followed by major hematoma (4%), and pneumothorax (1.3%). The fluoroscopic group had maximum complications (83%), followed by the venography group. Significantly higher arterial punctures occurred in the fluoroscopic venous puncture group. Conclusion: There were 100% success in the Doppler and venographic groups and only 92% success in the fluoroscopic venous puncture group. Maximum complications were seen in the fluoroscopic group, with significantly higher arterial punctures seen in the fluoroscopic venous puncture group. |
| first_indexed | 2024-04-13T04:07:15Z |
| format | Article |
| id | doaj.art-fa9dd184e2804bd58e2d83618d38df2d |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-04-13T04:07:15Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-fa9dd184e2804bd58e2d83618d38df2d2022-12-22T03:03:14ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642022-01-01422818610.4103/jmedsci.jmedsci_1_21Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devicesAshokKumarKhandy Aashaq HussainTauseefNabiAshish Kumar GolwaraAjeet Kumar SinghBackground: Cardiovascular implantable electronic devices (CIED) are life-saving devices, but may lead to puncture-related complications during implantation. Aim: The aim of this study was to compare the success and complications of the subclavian venous puncture under the guidance of fluoroscopy, venography, and Doppler. Methods: This was a prospective observational study conducted for one year at a tertiary health center in North India. We studied the clinical profile, success, and complications in three puncture techniques for CIED lead implantation in 75 adult patients of >18 years of age, randomized in three equal groups of 25 participants. Results: The mean age was 66.6 ± 15.6 years, with the majority being males. The left-sided approach for lead implantation was common (84%). Pacemakers were most commonly implanted CIED devices. The overall success of punctures was 100% each in Doppler and venography group, and 92% in the fluoroscopic-guided venous puncture group. Success in the first attempt was observed in 48% in the Doppler group and 24% each in the fluoroscopic and venographic group. There were total of 12 complications, the most common were arterial puncture (10.7%), followed by major hematoma (4%), and pneumothorax (1.3%). The fluoroscopic group had maximum complications (83%), followed by the venography group. Significantly higher arterial punctures occurred in the fluoroscopic venous puncture group. Conclusion: There were 100% success in the Doppler and venographic groups and only 92% success in the fluoroscopic venous puncture group. Maximum complications were seen in the fluoroscopic group, with significantly higher arterial punctures seen in the fluoroscopic venous puncture group.http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2022;volume=42;issue=2;spage=81;epage=86;aulast=Kumarcardiac implantable electronic devicesubclavian venous puncturefluoroscopydopplervenographycomplications |
| spellingShingle | AshokKumar Khandy Aashaq Hussain TauseefNabi Ashish Kumar Golwara Ajeet Kumar Singh Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices Journal of Medical Sciences cardiac implantable electronic device subclavian venous puncture fluoroscopy doppler venography complications |
| title | Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices |
| title_full | Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices |
| title_fullStr | Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices |
| title_full_unstemmed | Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices |
| title_short | Success and complication rate of fluoroscopic, doppler, and contrast venography-guided subclavian venous puncture for implantation of cardiovascular electronic devices |
| title_sort | success and complication rate of fluoroscopic doppler and contrast venography guided subclavian venous puncture for implantation of cardiovascular electronic devices |
| topic | cardiac implantable electronic device subclavian venous puncture fluoroscopy doppler venography complications |
| url | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2022;volume=42;issue=2;spage=81;epage=86;aulast=Kumar |
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