{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:14:51Z","timestamp":1783617291944,"version":"3.55.0"},"reference-count":0,"publisher":"Radcliffe Medical Media Ltd","issue":"2","license":[{"start":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T00:00:00Z","timestamp":1597276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/legalcode"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arrhythm Electrophysiol Rev"],"abstract":"<p>Cardiac stimulation therapy has evolved significantly over the past 30 years. Currently, cardiac implantable electronic devices (CIED) are the mainstream therapy for many potentially lethal heart conditions, such as advanced atrioventricular block or sustained ventricular tachycardia or fibrillation. Despite sometimes being lifesaving, the implant is surgical and therefore carries all the inevitable intrinsic risks. In the process of technology evolution, one of the most important factors is to make it safer for the patient. In the context of CIED implants, complications include accidental puncture of intrathoracic structures. Alternative strategies to intrathoracic subclavian vein puncture include cephalic vein dissection or axillary vein puncture, which can be guided by fluoroscopy, venography or, more recently, ultrasound. In this article, the authors analyse the state of the art of ultrasound-guided axillary vein puncture using evidence from landmark studies in this field.<\/p>","DOI":"10.15420\/aer.2020.17","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T06:33:30Z","timestamp":1594622010000},"page":"78-82","source":"Crossref","is-referenced-by-count":15,"title":["Ultrasound-guided Axillary Vein Puncture in Cardiac Lead Implantation: Time to Move to a New Standard Access?"],"prefix":"10.15420","volume":"9","author":[{"given":"Ana Paula","family":"Tagliari","sequence":"first","affiliation":[{"name":"Postgraduate Program in Cardiology and Cardiovascular Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Cardiovascular Surgery Department, Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul, Porto Alegre, Brazil; University Hospital of Zurich, University of Zurich, Cardiac Surgery Department, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriano Nunes","family":"Kochi","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Cardiology and Cardiovascular Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Hospital Nossa Senhora da Concei\u00e7\u00e3o, Porto Alegre, Brazil; Centro Cardiologico Monzino, Heart Rhythm Center, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo","family":"Mastella","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Petersen","family":"Saadi","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"di Leoni Ferrari","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Henrique","family":"Dussin","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul, Porto Alegre, Brazil; Cardiovascular Surgery Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro","family":"de Moura","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul, Porto Alegre, Brazil; Cardiovascular Surgery Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcio Rodrigo","family":"Martins","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul, Porto Alegre, Brazil; Cardiovascular Surgery Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Keller","family":"Saadi","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul, Porto Alegre, Brazil; Cardiovascular Surgery Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carisi Anne","family":"Polanczyk","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Cardiology and Cardiovascular Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Cardiology Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6096","published-online":{"date-parts":[[2020,8,13]]},"container-title":["Arrhythmia &amp; Electrophysiology Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.aerjournal.com\/articles\/Ultrasound-Guided-Axillary-Vein-Puncture-Cardiac-Lead-Implantation","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T16:46:04Z","timestamp":1783615564000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerjournal.com\/articleindex\/aer.2020.17"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,13]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,8,13]]}},"alternative-id":["aer.2020.17"],"URL":"https:\/\/doi.org\/10.15420\/aer.2020.17","relation":{},"ISSN":["2050-3369","2050-3377"],"issn-type":[{"value":"2050-3369","type":"print"},{"value":"2050-3377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,13]]}}}