Extrathoracic Subclavian Venipuncture Under Ultrasound Guidance
スポンサーリンク
概要
- 論文の詳細を見る
Background Cardiac pacemaker and defibrillator leads are inserted through extrathoracic subclavian venipuncture using ultrasound (US) guidance, but there can be complications. The purpose of this study was to investigate a safer and improved implanting procedure. Methods and Results Venipuncture guided by US with a 7.5MHz convex transducer was performed to implant 32 leads in 18 patients. US enabled identification and location of the vein and needle tip during puncture and clarified the reasons for unsuccessful venipuncture. Venipuncture was successful on the second attempt or within 2min in 90.6% (29/32) and 84.4% (27/32) of lead placements, respectively, although the vein was small (mean, 7.8mm), deep (mean, 22.7mm), and required a large angle of entry (mean, 52.4°). The subclavian artery or lung was adjacent to the vein in 50.0% and 27.8% of cases, respectively. The flexible wall of the vein interfered with the penetration of the needle in 33.3% of cases. It was often difficult to locate the needle tip because of poor visualization. Conclusions Ultrasound guidance of subclavian venipuncture enables a safe and time-saving procedure by visualizing not only the needle but also the vein and surrounding structures, although further modifications of the needle are needed for better visualization.
- 社団法人日本循環器学会の論文
- 2005-08-20
著者
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Sueda T
Department Of Cardiovascular Surgery Hiroshima University Hospital
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Sueda Taijiro
広島県厚生農業協同組合連合会廣島総合病院 外科
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Sueda Taijiro
Deaprtment Of Pediatric Surgery Graduate School Of Biomedical Science Hiroshima University
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Okada Kenji
Department of Cardiovascular Surgery, Hiroshima University Hospital
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Orihashi Kazumasa
Department of Cardiovascular Surgery, Hiroshima University Hospital
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Orihashi Kazumasa
Division of Cardiovascular Surgery, Hiroshima University Hospital
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Imai Katsuhiko
Division of Cardiovascular Surgery, Hiroshima University Hospital
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Sato Katsutoshi
Division of Cardiovascular Surgery, Hiroshima University Hospital
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Hamamoto Masaki
Division of Cardiovascular Surgery, Hiroshima University Hospital
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Okada Kenji
Division of Cardiovascular Surgery, Hiroshima University Hospital
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Sueda Taijiro
Division of Cardiovascular Surgery, Hiroshima University Hospital
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Okada K
Department Of Cardiovascular Surgery Hiroshima University Hospital
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Sato Katsutoshi
Department Of Cardiovascular Surgery Hiroshima University Hospital
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Orihashi Kazumasa
Department Of Cardiovascular Surgery Hiroshima University Hospital
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Imai Katsuhiko
Department Of Cardiovascular Surgery Hiroshima University Hospital
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Hamamoto Masaki
Division Of Cardiovascular Surgery Hiroshima University Hospital
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Santo Takahiro
Department Of Surgery Division Of Clinical Medical Science Graduate School Of Biomedical Sciences Hi
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Okada Kenji
Division Of Cardiovascular Surgery Department Of Cardio-pulmonary And Vascular Medicine Kobe Univers
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Imai Katsuhiko
Department Of Cardiovascular Surgery Hiroshima University School Of Medicine
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Imai Katsuhiko
Department of Cardiovascular Surgery, Hiroshima University School of Medicine
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