{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T18:44:04Z","timestamp":1772217844841,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Technical advances have improved the safety of cardiac implantable electronic device (CIED) insertion, but periprocedural complications persist. Despite ultrasound (US) guidance for vascular access being feasible and exhibiting shorter fluoroscopy times, it is not widely adopted for insertion of CIEDs. Thus, we studied the use of US for CIED insertion to (1) quantify the success rate of venous cannulation, (2) identify predictors of failed cannulation, and (3) quantify the rate of complications using US guidance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied 166 consecutive patients who underwent US\u2010guided CIED implantation. Anatomic parameters of the axillary vein were measured. The primary outcome was success (group 1) or failure (group 2) to obtain vascular access utilizing US guidance. Secondary outcomes included pneumothorax and hematoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Successful US\u2010guided cannulation occurred in 154 of 166 patients (93%). No patient had a pneumothorax. Hematoma occurred in 1 of 166 patients (0.01%). Group 2 exhibited higher male proportion at 11 of 12 (92%) compared with 94 of 154 (61%) in group 1 (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.03), increased vein depth at 3.84\u00a0versus 2.85\u00a0cm (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.003), more right\u2010sided implants (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.03), higher weight at 104.6\u00a0versus 85.3\u00a0kg (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.017), higher body mass index at 35.6\u00a0versus 29.2\u00a0kg\/m<jats:sup>2<\/jats:sup> (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.049), and higher body surface area at 2.24\u00a0versus 1.99 m<jats:sup>2<\/jats:sup> (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.013). Other parameters were statistically nonsignificant. In multivariate analysis, vein depth remained significantly associated with failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using US guidance for CIED implantation is successful in the vast majority (93%) of patients. Rare cases of unsuccessful cannulation were associated with right\u2010sided implants and increased venous depth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13855","type":"journal-article","created":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T04:33:05Z","timestamp":1575606785000},"page":"217-222","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Predictors of successful ultrasound\u2010guided lead implantation"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2158-2797","authenticated-orcid":false,"given":"Asim S.","family":"Ahmed","sequence":"first","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasen L.","family":"Gilge","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad A.","family":"Clark","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankur","family":"Shah","sequence":"additional","affiliation":[{"name":"Doctors Hospital\u2014OhioHealth  Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiv","family":"Bagga","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathew S.","family":"Padanilam","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric N.","family":"Prystowsky","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep A.","family":"Joshi","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girish V.","family":"Nair","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parin J.","family":"Patel","sequence":"additional","affiliation":[{"name":"St. Vincent Medical Group St. Vincent Hospital  Indianapolis 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