Advertisement

How to access the axillary vein

  • Peter Belott
    Correspondence
    Address reprint requests and correspondence: Dr. Peter H. Belott, 1625 E. Main Street, Suite 202, El Cajon, California 92021.
    Affiliations
    Electrophysiology Department, Sharp Grossmont Hospital, La Mesa, California.
    Search for articles by this author
Published:November 08, 2005DOI:https://doi.org/10.1016/j.hrthm.2005.10.031
      The axillary vein has become a desirable structure for venous access for implantation of defibrillator and pacemaker leads because the vein is large, easily accessed, and can accommodate multiple leads. Furthermore, axillary vein access is not associated with problems accompanying subclavian vein access, including pneumothorax and subclavian crush syndrome.
      • Fyke III, F.E.
      Infraclavicular lead failure tarnish on a golden route.
      • Magney J.E.
      • Flynn D.M.
      • Parsons J.A.
      • Staplin D.H.
      • Chin-Purcell M.V.
      • Milstein S.
      • Hunter D.W.
      Anatomical mechanisms explaining damage to pacemaker leads, defibrillator leads, and failure of central venous catheters adjacent to the sternoclavicular joint.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart Rhythm
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Fyke III, F.E.
        Infraclavicular lead failure.
        Pacing Clin Electrophysiol. 1993; 16: 373-376
        • Magney J.E.
        • Flynn D.M.
        • Parsons J.A.
        • Staplin D.H.
        • Chin-Purcell M.V.
        • Milstein S.
        • Hunter D.W.
        Anatomical mechanisms explaining damage to pacemaker leads, defibrillator leads, and failure of central venous catheters adjacent to the sternoclavicular joint.
        Pacing Clin Electrophysiol. 1993; 16: 445-447
        • Byrd C.L.
        Safe introducer technique for pacemaker lead implantation.
        Pacing Clin Electrophysiol. 1992; 15: 262-267
        • Byrd C.L.
        Clinical experience with the extrathoracic introducer insertion technique.
        Pacing Clin Electrophysiol. 1983; 16: 1781-1784
        • Magney J.E.
        • Staplin D.H.
        • Flynn D.M.
        • Hunter D.W.
        A new approach to percutaneous subclavian needle puncture to avoid lead fracture or central venous catheter occlusion.
        Pacing Clin Electrophysiol. 1993; 16: 2133-2142
        • Belott P.H.
        A variation on the introducer technique for unlimited access to the subclavian vein.
        Pacing Clin Electrophysiol. 1981; 4: 43-48
        • Spencer III, W.K.
        • Zhu D.W.X.
        • Kirkpatrick C.
        • Killip D.
        • Durand J.B.
        Subclavian venogram as a guide to lead implantation.
        Pacing Clin Electrophysiol. 1998; 21: 499-502
        • Ramza B.M.
        • Rosenthal L.
        • Hui R.
        • Nsah E.
        • Savader S.
        • Lawrence J.H.
        • Tomaselli G.
        • Berger R.
        • Brinker J.
        • Calkins H.
        Safety and effectiveness of placement of pacemaker and defibrillator leads in the axillary vein guided by contrast venography.
        Am J Cardiol. 1997; 80: 892-896