Implantation of Permanent Transvenous Pacemaker via Subclavian Vein

John M. Kessinger, MD; Arlen R. Holter, MD; Alexander S. Geha, MD
Arch Surg. 1982;117(8):1105-1107. doi:10.1001/archsurg.1982.01380320087023.
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• A favorable overall experience was found with permanent transvenous cardiac pacing using a direct venipuncture for entry into the subclavian vein. The method allows rapid and relatively atraumatic introduction of a variety of transvenous pacemaker electrodes. However, a fatal complication developed that was caused by unrecognized puncture of the left pulmonary artery in an elderly patient. This was the result of a technical error and emphasizes that experience in subclavian venipuncture is essential to avoid the complications of this approach.

(Arch Surg 1982;117:1105-1107)


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