Insertion of permanent endocardial pacing electrodes via the infraclavicular subclavian vein

A technique of insertion of permanent endocardial pacing electrodes via the infraclavicular subclavian vein is described. Twenty-eight electrodes have been inserted without a displacement or any of the recognized complications occurring. The method is quicker and more reliable than more conventional approaches. We feel the low displacement rate is the result of the relatively proximal catheter fixation to the fascia pectoralis and the use of tined electrodes.