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Related Experiment Video

Updated: Dec 10, 2025

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Permanent Transfemoral Pacing: Making Things Easier.

Andrew Martin1, Nigel Lever2

  • 1Green Lane Cardiovascular Service, Auckland City Hospital, Grafton, Auckland, New Zealand.

Heart, Lung & Circulation
|September 3, 2020
PubMed
Summary

This study presents a safe alternative for permanent pacemaker implantation using a femoral venous approach. This technique is ideal when traditional arm vein access is not feasible, avoiding chest and neck complications.

Keywords:
Femoral pacingPermanent pacemaker

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Area of Science:

  • Cardiology
  • Medical Devices
  • Surgical Techniques

Background:

  • Permanent pacemaker implantation typically utilizes venous access via the arms.
  • Certain clinical scenarios necessitate alternative implantation sites due to limitations or contraindications of the standard approach.

Purpose of the Study:

  • To describe a novel method for permanent pacemaker implantation via the femoral venous approach.
  • To offer a safe alternative pacing site, particularly when avoiding the chest and neck regions is desired.

Main Methods:

  • A technique for permanent pacemaker implantation using the femoral venous tributaries is detailed.
  • The procedure involves creating a subcutaneous pocket for the pacemaker generator.

Main Results:

  • The described femoral venous approach provides a viable alternative for pacemaker implantation.
  • This method offers a safe pacing site, effectively circumventing the need for chest or neck access.

Conclusions:

  • The femoral venous approach with a subcutaneous pocket is a safe and effective alternative for permanent pacemaker implantation.
  • This technique expands options for patients where traditional venous access is compromised or contraindicated.