{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T07:30:45Z","timestamp":1782286245951,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T00:00:00Z","timestamp":1591142400000},"content-version":"vor","delay-in-days":0,"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":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The venous access for the insertion of permanent leads of cardiac implantable electronic devices is often achieved by venous cutdown of the cephalic vein, or by \u201cblind\u201d puncture of the subclavian vein using anatomical landmarks, or by fluoroscopy\u2010assisted methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We have retrospectively analyzed our clinical experience to verify the feasibility, the safety, and efficacy of the adoption of ultrasound\u2010guided puncture\/cannulation of the axillary vein for this purpose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine hundred eighty\u2010seven leads were placed during 548 consecutive procedures, accessing the axillary vein in the infraclavicular area using real\u2010time ultrasound guidance. Venipuncture was successful in 99.8% of cases. The access time was 11\u00a0seconds (range 4\u2010580). We recorded three cases of pneumothorax (0.5%), but no hemothorax and no hemo\u2010mediastinum. The incidence of local hematoma was 2.1% (12 cases). No injury to the brachial plexus or to the phrenic nerve was recorded. In a follow\u2010up of 33 months (range 16\u201039), we observed no cases of \u201csubclavian crush syndrome\u201d (damage of the leads at the level of the thoracic inlet), and the rate of pocket infection\/infective endocarditis was 0.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our experience, ultrasound\u2010guided puncture\/cannulation of the axillary vein for implantation of permanent leads is feasible, effective, and safe. It might be considered as a first option for this procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13961","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T04:13:51Z","timestamp":1590466431000},"page":"713-719","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Ultrasound\u2010guided venipuncture for implantation of cardiac implantable electronic devices: A single\u2010center, retrospective study"],"prefix":"10.1111","volume":"43","author":[{"given":"Giovanni","family":"Deluca","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo F. M.","family":"Massari","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Musaico","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Rosa","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Modugno","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Davide","family":"Scardigno","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Valente","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale Di","family":"Leo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Cardiology ASL BAT, Bisceglie Hospital  Bisceglie Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7817-1999","authenticated-orcid":false,"given":"Gianluca","family":"Ceravolo","sequence":"additional","affiliation":[{"name":"Biotronik Italia Spa  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Pittiruti","sequence":"additional","affiliation":[{"name":"Department of Surgery Catholic University Hospital \u201cA. Gemelli\u201d  Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(79)90363-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1996.tb03418.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2007.00779.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1993.tb01018.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-015-0011-7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0000000000000154"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818804718"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.69.1111"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12005"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-018-0313-7"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht511"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.05.007"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318218a1ae"},{"key":"e_1_2_6_15_1","first-page":"3770","article-title":"A case of reversible upper brachial plexopathy following CRT\u2010 P implantation","volume":"6","author":"Mathew D","year":"2018","journal-title":"In J Res Med Sci"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euv423"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.126.4.1177"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1086\/514673"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq497"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.009081"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729819826034"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpace.13961","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13961","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.13961","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.13961","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T22:12:59Z","timestamp":1693951979000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.13961"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,3]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/pace.13961"],"URL":"https:\/\/doi.org\/10.1111\/pace.13961","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,3]]},"assertion":[{"value":"2020-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}