Abstract
Influence of implantation access on complication rates in pacemaker implantation: An analysis of quality insurance data
Highlights
The implantation access either via vena cephalica (VC) or vena subclavia (VS) is the usual procedure in pacemaker implantation [1]
Access via VC is associated with less complications and represents an overall more gentle method for implantation of pacemakers [8], the VS is still preferred
We found a signi icantly higher risk of any complication after using the VS approach (3.0% vs. VC 2.6%) which con irms results of previous smaller studies [8,18,19]
Summary
The implantation access either via vena cephalica (VC) or vena subclavia (VS) is the usual procedure in pacemaker implantation [1]. Each procedure has advantages and disadvantages such as success rate, procedure time incl. Reasons are the reported higher success rate, the shorter operation and luoroscopy times, lower blood loss and the simple puncture of the vein [3,4,5,6,7]. The access via VS is associated with a higher rate of pneumothorax [6,7]. Access via VC is associated with less complications and represents an overall more gentle method for implantation of pacemakers [8], the VS is still preferred
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