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Czasopismo

2015 | 74 | 4 |

Tytuł artykułu

Clinical implications of cephalic vein morphometry in routine cardiac implantable electronic device insertion

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Morphometric parameters of the venous vasculature constitute an important aspect in successful cardiac implantable electronic device (CIED) insertion. The purpose of this study was to present morpho-anatomical variations of the cephalic vein (CV) and their effect on the course of CIED implantation procedures, based on the patients from our centre. Materials and methods: We analysed contrast venography results obtained during first-time lead placement. Venography was indicated in the cases of problematic lead introduction with either the CV cutdown or axillary/subclavian vein puncture techniques. The 214 cases of venography (15%) performed out of 1425 first-time lead placement in the period 2011–2013 were divided into 9 subgroups according to the most commonly observed CV variations of similar morpho-anatomical features that limited the use of the CV cutdown technique for lead insertion. Results: The following CV morphometric parameters were found to be unfavourable in terms of lead placement: CV diameter of ≤ 1 mm (18%), sharp curvature of the terminal CV segment as it joined the axillary vein (14%), terminal CV bifurcation (9%), additional CV branches (7%) or tributaries (7%), stenoses (5%), sharply winding course (5%), single CV with a supraclavicular course (4%). Conclusions: The radiographic records obtained during the procedures allowed us to assess the prevalence of those atypical CV variations in our study group, with graphic presentation of characteristic types and sporadically reported CV variations. (Folia Morphol 2015; 74, 4: 458–464)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

74

Numer

4

Opis fizyczny

p.458-464,fig.,ref.

Twórcy

  • Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
autor
  • Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
autor
  • Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
autor
  • Department of Cardiology, Medical University of Warsaw, Warsaw, Poland

Bibliografia

  • 1. Kim D-I, Han S-H (2010) Venous variations in neck region: cephalic vein. IJAV, 3: 208–210.
  • 2. Knight BP, Curlett K, Oral H, Pelosi F, Morady F, Strickberger SA (2002) Clinical predictors of successful cephalic vein access for implantation of endocardial leads. J Interv Card Electrophysiol, 7: 177–180.
  • 3. Kolettis TM, Lysitsas DN, Apostolidis D, Baltogiannis GG, Sourla E, Michalis LK (2010) Improved ‘cut-down’ technique for transvenous pacemaker lead implantation. Europace, 12: 1282–1285. doi: org/10.1093/europace/euq173.
  • 4. Lau EW (2007) Upper body venous access for transvenous lead placement–review of existent techniques. Pacing Clin Electrophysiol, 30: 901–909. doi: 10.1111/j.1540-8159.2007.00779.x.
  • 5. Lau EW, Liew R, Harris S (2007) An unusual case of the cephalic vein with a supraclavicular course. Pacing Clin Electrophysiol, 30: 719–20. doi: 10.1111/j.1540-8159.2007.00736.x
  • 6. Loukas M, Myers CS, Wartmann ChT, Tubbs RS, Judge T, Curry B, Jordan R (2008) The clinical anatomy of the cephalic vein in the deltopectoral triangle. Folia Morphol, 67: 72–77.
  • 7. Lum C, Ladenheim ED (2013) An interesting clinical case: variant of the cephalic vein emptying into the internal jugular vein. Semin Dial, 26:E11-2. doi: 10.1111/j.1525-139X.2012.01102.x.
  • 8. Neri R, Cesario AS, Baragli D, Monti F, Danisi N, Glaciale G, Gambelli G (2003) Permanent pacing lead insertion through the cephalic vein using an hydrophilic guidewire. Pacing Clin Electrophysiol, 26: 2313–2314. doi: 10.1111/j.1540-8159.2003.00365.x.
  • 9. Parsonnet V, Roelke M (1999) The cephalic vein cutdown versus subclavian puncture for pacemaker/ICD lead implantation. PACE, 22: 695–697.
  • 10. Povoski SP (2000) A prospective analysis of the cephalic vein cutdown approach for chronic indwelling central venous access in 100 consecutive cancer patients. Ann Surg Oncol, 7: 496–502.
  • 11. Saaid A, Drysdale I (2008) Unusual termination of the cephalic vein. Clin Anat, 21: 786–787. doi: 10.1002/ca.20661.
  • 12. Tobin K, Stewart J, Westveer D, Frumin H (2000) Acute complications of permanent pacemaker implantation: their financial implication and relation to volume and operator experience. Am J Cardiol, 85: 774–776, A9. doi:org/10.1016/S0002-9149(99)00861-9
  • 13. Tokano T, Nakazato Y, Shiozawa T, Konishi H, Hiki M, Kato Y, Komatsu S, Yamase M, Komatsu K, Hayashi H, Sekita G, Suwa S, Bito F, Kizu K, Sumiyoshi M, Daida H (2013) Variations in cephalic vein venography for device implantation–Relationship to success rate of lead implantation. J Arrhyth, 29: 9–12. doi: org/10.1016/j.joa.2012.05.009.
  • 14. Tse HF, Lau CP, Leung SK (2001) A cephalic vein cutdown and venography technique to facilitate pacemaker and defibrillator lead implantation. Pacing Clin Electrophysiol, 24: 469–473.
  • 15. Ussen B, Dhillon PS, Anderson L, Beeton I, Hickman M, Gallagher MM (2011) Safety and feasibility of cephalic venous access for cardiac resynchronization device implantation. Pacing Clin Electrophysiol, 34: 365–369. doi: 10.1111/j.1540-8159.2010.02975.x.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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