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. 1978 Feb;40(2):114–116. doi: 10.1136/hrt.40.2.114

Use of subclavian vein for permanent cardiac pacing.

G P McNeill, N C Taylor
PMCID: PMC482785  PMID: 637961

Abstract

The subclavian vein has been used to implant permanent pacing catheters in 40 patients with symptomatic heart block. Though the cephalic and external jugular veins are usually preferred for this purpose in Britain, the use of these veins has certain disadvantages. In this study subclavian venepuncture by the infraclavicular approach was performed without diffculty and found to be a safe procedure. Three months after implantation, 7.5 per cent of patients had developed catheter tip dislocation and 87.5 per cent of patients were entirely free of complications.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BLUESTONE R., DAVIES G., HARRIS A., LEATHAMA, SIDDONS H. LONG-TERM ENDOCARDIAL PACING FOR HEART-BLOCK. Lancet. 1965 Aug 14;2(7407):307–311. doi: 10.1016/s0140-6736(65)90284-9. [DOI] [PubMed] [Google Scholar]
  2. Borrie J., Lichter I. Surgical management and problems of heart pacing. Br J Surg. 1975 Mar;62(3):186–188. doi: 10.1002/bjs.1800620305. [DOI] [PubMed] [Google Scholar]
  3. Dosios T. J., Magovern G. J., Gay T. C., Joyner C. R. Cardiac tamponade complicating percutaneous catheterization of subclavian vein. Surgery. 1975 Aug;78(2):261–263. [PubMed] [Google Scholar]
  4. Epstein E. J., Quereshi M. S., Wright J. S. Diaphragmatic paralysis after supraclavicular puncture of subclavian vein. Br Med J. 1976 Mar 20;1(6011):693–694. doi: 10.1136/bmj.1.6011.693. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Faden H., Durham G., Tinker J., Rowley A., Glasgow L. A. Septic thrombosis following subclavian vein catheterization. J Pediatr. 1976 May;88(5):895–896. doi: 10.1016/s0022-3476(76)81142-0. [DOI] [PubMed] [Google Scholar]
  6. Farhat K., Nakhjavan K., Cope C., Yazdanfar S., Fernandez J., Gooch A., Goldberg H. Iatrogenic arteriovenous fistula: a complication of percutaneous subclavian vein puncture. Chest. 1975 Apr;67(4):480–482. doi: 10.1378/chest.67.4.480. [DOI] [PubMed] [Google Scholar]
  7. Gregg D. L., Caves P. K., Hollingsworth J. H., Benedetti A., Stinson E. B. A method for percutaneous insertion of permanent transvenous pacemaker electrodes. J Thorac Cardiovasc Surg. 1974 Mar;67(3):387–389. [PubMed] [Google Scholar]
  8. KEERI-SZANTO M. The subclavian vein, a constant and convenient intravenous injection site. AMA Arch Surg. 1956 Jan;72(1):179–181. [PubMed] [Google Scholar]
  9. Siddons H., Nowak K. Surgical complications of implanting pacemakers. Br J Surg. 1975 Dec;62(12):929–935. doi: 10.1002/bjs.1800621202. [DOI] [PubMed] [Google Scholar]
  10. Sowton E. Use of cardiac pacemakers in Britain. Br Med J. 1976 Nov 13;2(6045):1182–1184. doi: 10.1136/bmj.2.6045.1182. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Walker M. M., Sanders R. C. Pneumothorax following supraclavicular subclavian venepuncture. Anaesthesia. 1969 Jul;24(3):453–460. doi: 10.1111/j.1365-2044.1969.tb02886.x. [DOI] [PubMed] [Google Scholar]
  12. Yoffa D. Supraclavicular subclavian venepuncture and catheterisation. Lancet. 1965 Sep 25;2(7413):614–617. doi: 10.1016/s0140-6736(65)90519-2. [DOI] [PubMed] [Google Scholar]

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