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Pacemaker implantation through the internal jugular vein

R Brodman, S Furman

    The Annals of Thoracic Surgery
    |January 1, 1980
    PubMed
    Summary
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    The internal jugular vein provides a safe and effective transvenous route for permanent pacemaker implantation. This twelve-year study found it to be a useful approach with minimal complications in 90 patients.

    Area of Science:

    • Cardiology
    • Vascular Surgery
    • Medical Devices

    Background:

    • Permanent pacemaker implantation is a common procedure for managing bradyarrhythmias.
    • Transvenous lead placement typically utilizes the subclavian or internal jugular veins.
    • Optimizing surgical access for pacemaker implantation remains an area of clinical interest.

    Purpose of the Study:

    • To evaluate the safety and efficacy of the internal jugular vein as a primary route for permanent transvenous pacemaker implantation.
    • To assess the complication rates associated with this specific surgical approach.

    Main Methods:

    • A retrospective review of 1,808 patients undergoing permanent pacemaker implantation over a twelve-year period.
    • Analysis of 92 transvenous implants performed via the ligated internal jugular vein.

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  • Documentation and categorization of all intraoperative and postoperative complications.

    • Main Results:

    • Ninety-two permanent transvenous pacemaker implants were successfully performed using the internal jugular vein.
    • Three complications were recorded: one permanent recurrent laryngeal nerve injury and two cases of severe thrombophlebitis.
    • Both internal jugular veins were utilized in two patients without any adverse events.

    Conclusions:

    • The internal jugular vein is a safe and useful venous access route for permanent pacemaker implantation.
    • The complication rate observed in this series is low, suggesting favorable outcomes.
    • This approach offers a viable alternative for pacemaker lead placement.