{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:53:40Z","timestamp":1775148820224,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Temporary pacemaker (TPM) implantation is a critical intervention for managing symptomatic bradyarrhythmias. While infraclavicular access via subclavian or internal jugular veins is commonly used, the supraclavicular approach has emerged as a promising alternative with potential benefits in safety and procedural efficiency. However, data comparing these approaches, particularly in resource\u2010limited settings, remain limited.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a retrospective observational study at a tertiary care center, evaluating all patients who underwent TPM implantation via either supraclavicular or infraclavicular venous access between January 2020 and December 2024. Baseline characteristics, procedural success, complications, and outcomes were compared. Multivariate logistic regression identified predictors of complications. A ROC curve and Kaplan\u2013Meier analysis were used to evaluate model performance and complication\u2010free survival.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 3569 patients, 1644 received supraclavicular access and 1925 received infraclavicular access. The supraclavicular group had a significantly lower overall complication rate (9.3% vs. 14.8%,\n p<\/jats:italic>\n \u2009<\u20090.001), including fewer arterial punctures, pneumothoraces, lead dislodgements, and hematomas. First\u2010attempt success (89.4% vs. 83.2%,\n p<\/jats:italic>\n \u2009<\u20090.001) and mean procedure time (24.6\u2009\u00b1\u20097.8\u2009min vs. 29.1\u2009\u00b1\u20099.4\u2009min,\n p<\/jats:italic>\n \u2009<\u20090.001) were also better with supraclavicular access. On multivariate analysis, supraclavicular access was independently associated with fewer complications (adjusted OR 0.59,\n p<\/jats:italic>\n \u2009<\u20090.001). Kaplan\u2013Meier analysis showed longer complication\u2010free survival in the supraclavicular group (log\u2010rank\n p<\/jats:italic>\n \u2009=\u20090.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Supraclavicular venous access for TPM implantation is associated with fewer complications, greater procedural efficiency, and improved patient outcomes compared to infraclavicular access. Wider adoption may improve safety in high\u2010volume or resource\u2010limited settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/anec.70132","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T06:45:21Z","timestamp":1765435521000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Supraclavicular Access in Temporary Pacemaker Implantation"],"prefix":"10.1111","volume":"31","author":[{"given":"Abdulkarim Jamal Abdunnaser Ben","family":"Yezza","sequence":"first","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mubashir","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hafiz Muhammad Hashim","family":"Butt","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qurban Hussain","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aadarsh Kumar","family":"Ramani","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3310-5442","authenticated-orcid":false,"given":"Abida","family":"Perveen","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Zeeshan","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FNU","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9343-4187","authenticated-orcid":false,"given":"Jahanzeb","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Medicine Ibn e Seena Hospital Kabul Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.022"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2024.1349480"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003319714568516"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010071\u201024686"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.15420\/usc.2023.04"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15525"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.118.006436"},{"issue":"10","key":"e_1_2_10_9_1","first-page":"e85","article-title":"HRS Expert Consensus Statement on the Management of Temporary Pacing","volume":"16","author":"Kusumoto F. M.","year":"2019","journal-title":"Heart Rhythm"},{"issue":"9","key":"e_1_2_10_10_1","first-page":"1005","article-title":"Permanent Cardiac Pacing Through the Right Supraclavicular Subclavian Vein Approach","volume":"19","author":"Liu K. S.","year":"2003","journal-title":"Canadian Journal of Cardiology"},{"issue":"4","key":"e_1_2_10_11_1","first-page":"267","article-title":"Temporary Transvenous Pacing: Current Practice and Complications","volume":"72","author":"Malik J.","year":"2020","journal-title":"Indian Heart Journal"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.23781"},{"issue":"2","key":"e_1_2_10_13_1","first-page":"110","article-title":"Supraclavicular Subclavian Vein Catheterization: The Forgotten Central Line","volume":"10","author":"Patrick S. P.","year":"2009","journal-title":"Western Journal of Emergency Medicine"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15010088"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.14744\/SEMB.2021.86836"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2305\u20105839.2015.02.11"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.70132","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.70132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:25:29Z","timestamp":1769534729000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.70132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,10]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/anec.70132"],"URL":"https:\/\/doi.org\/10.1111\/anec.70132","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,10]]},"assertion":[{"value":"2025-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70132"}}