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Ultrasound-guided vascular access for CIED implantation: A step-by-step guide
1Palo Alto Medical Foundation-Sutter Health, Palo Alto, California, USA.
Journal of Cardiovascular Electrophysiology
|February 14, 2023
Summary
Ultrasound guidance is a safe and reproducible technique for vascular access in cardiac implantable electronic device (CIED) procedures. This guide details optimal visualization and needle techniques for improved safety and efficiency.
Area of Science:
- Cardiology
- Medical Imaging
- Surgical Procedures
Background:
- Vascular access is crucial for cardiac electrophysiology procedures.
- Ultrasound guidance has become the standard for cardiac implantable electronic device (CIED) implantation over the last 20 years.
Purpose of the Study:
- To provide a step-by-step guide for ultrasound-guided vascular access in CIED procedures.
- To enhance safety and efficiency in CIED implantation.
Main Methods:
- Utilizing both short-axis and long-axis ultrasound views.
- Employing a twisting needle motion after maximal vessel tenting.
- Detailed explanation of optimal visualization and needle maneuver techniques.
Main Results:
- The described technique is extremely safe and reproducible.
- Optimized visualization and needle manipulation maximize safety and efficiency.
Conclusions:
- This method ensures optimal ultrasound-guided visualization and needle technique.
- The guide aims to improve vascular access for all CIED procedures.
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