Insights From the Axillary Vein Puncture Guided By Ultrasound Versus Cephalic Vein Dissection Trial

Abstract

Axillary vein puncture guided by ultrasound (US-Ax) versus cephalic vein dissection in pacemaker and defibrillator implant: a multicenter randomized clinical trial is a recently published study in which 88 patients were randomized in a 1:1 fashion to one of the two methods. Even being performed by operators with not previous ultrasound-guided axillary vein puncture experience, this group presented a higher success rate, lower procedural time and comparable complication incidence.

Lay abstract

Recently a study evaluating two different approaches to cardiac devices implant was published. In the study, 88 patients were assigned to one of two methods for this procedure. The operators had no previous experience in one of the methods, but it demonstrated a higher success rate, took less time and had the same number of complications as the method the doctors had experience in. This paper evaluated the study and discusses what changes might take place in clinics as a result of these findings.

Keywords:

• axillary vein
• cephalic vein
• implantable cardioverter defibrillator
• pacemaker
• randomized clinical trial
• ultrasound-guided venous puncture

Supplementary data

To view the supplementary data that accompany this paper please visit the journal website at:www.tandfonline.com/doi/full/10.2217/fca-2020-0190

Disclaimer

The authors certify that this manuscript reports the secondary analysis of clinical trial data that have been shared with them, and that the use of this shared data are in accordance with the terms (if any) agreed upon their receipt. The source of this data are the study carried out by the authors, the results of which have been published at: AP Tagliari, AN Kochi, B Mastella et al. axillary vein puncture guided by ultrasound versus cephalic vein dissection in pacemaker and defibrillator implant: a multicenter randomized clinical trial. Heart Rhythm 17(9):1554–1560 (2020).

Financial & competing interests disclosure

AP Tagliari scientific research is supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (Capes) – Finance Code 001. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.