ISSN 2149-2263 | E-ISSN 2149-2271
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Individualized Blind Techniques for Puncture of Intrathoracic and Extrathoracic Subclavian Vein: Three Simple Experience Tips [Anatol J Cardiol]
Anatol J Cardiol. 2023; 27(9): 534-538 | DOI: 10.14744/AnatolJCardiol.2023.2893

Individualized Blind Techniques for Puncture of Intrathoracic and Extrathoracic Subclavian Vein: Three Simple Experience Tips

Yula He, Weiping Yang, Ying Zhao, Hexiang Cheng, Minxia Zhang, Yuan Yuan
Department of Cardiology, Xijing Hospital, Fourth Military Medical University (Air Force Medical University), Xi’an, China

Background: Although several procedures of subclavian venipuncture have been reported, no standard method has been established yet. The purpose of this study was to investigate some more accurate and improved blind puncture tips.

Methods: A prospective study was conducted on patients who underwent cardiac radio-frequency ablation with the blind technique of subclavian venipuncture from August 2018 to June 2022. All patients were randomly assigned to an intrathoracic approach group or extrathoracic approach group. Each group of patients followed their own specific puncture scheme and tips.

Results: About 371 punctures were included. Blind subclavian venipunctures were performed with 98.9% technical success and without complications in all patients. The overall success rate with an intrathoracic and extrathoracic approach was equivalent (96.7% vs. 98.3%, P =.23). The intrathoracic group showed a higher first-pass success compared with the extrathoracic group (91.9% vs. 80.2%, P = 0.003, respectively).

Conclusion: We localized the landmark/reference and skin puncture site of an intrathoracic and extrathoracic subclavian venipuncture individually and quantitatively. These experiences make blind techniques more accurate and faster.

Keywords: Blind technique, subclavian venipuncture, intrathoracic approach, extrathoracic approach

Yula He, Weiping Yang, Ying Zhao, Hexiang Cheng, Minxia Zhang, Yuan Yuan. Individualized Blind Techniques for Puncture of Intrathoracic and Extrathoracic Subclavian Vein: Three Simple Experience Tips. Anatol J Cardiol. 2023; 27(9): 534-538

Corresponding Author: Yuan Yuan
Manuscript Language: English


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