Because of improvement of the leads, the use of dual-chamber pacing is increasing. Usually, two leads are required, and these are introduced through the cephalic vein. However, some physicians prefer puncture of the subclavian vein for insertion of leads. But two major complications have been reported with this technique: major air embolus and massive hemorrhage. The author describes a new apparatus designed to avoid these complications.
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References
1.
Belott PH: A variation on the introducer technique for unlimited access to the subclavian vein. Pace, Vol. 4 pp. 43-48, 1981.