Ultrasound‐guided vascular access for CIED implantation: A step‐by‐step guide. (23rd February 2023)

• Record Type: Journal Article
• Authors: Salcedo, Jonathan
• Is Part Of: Journal of cardiovascular electrophysiology. Volume 34:Number 4(2023)
• Page Start: 1033
• Page End: 1036
• Publication Date: 2023-02-23
• Subjects: axillary -- cardiac implantable electronic device -- long axis -- ultrasound; Blood vessels -- Physiology -- Periodicals; Electrophysiology -- Periodicals; Heart -- Physiology -- Periodicals; 612.1
• DOI: 10.1111/jce.15860
• Languages: English
• ISSNs: 1045-3873

Abstract

Abstract: Introduction: Vascular access is required for most cardiac electrophysiology procedures. Over the past 2 decades, ultrasound guidance has increased in utilization as the primary method for assisting operators in gaining access to cardiac implantable electronic device (CIED) implantation. Methods: Ultrasound guidance using a technique that includes both short‐axis and long‐axis views combined with a twisting needle motion after maximal tenting provides an extremely safe and reproducible technique for vascular access for all CIED procedures. Results and Conclusions: In this manuscript and accompanying videos, a step‐by‐step guide is explained for optimal ultrasound‐guided visualization and needle maneuver technique to maximize safety and efficiency for vascular access in all CIED procedures.