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Europace Advance Access originally published online on February 26, 2009
Europace 2009 11(5):660-661; doi:10.1093/europace/eup047
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Arterial trauma during ultrasound-guided axillary vein puncture for endocardial lead placement

Jamie A.L. Smith, Jonathon T. Affolter, Jitendra C. Patel and Paul Broadhurst*

Department of Cardiology, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK

The axillary vein is an accepted route for gaining central venous access, particularly for pacing and implantable cardioverter defibrillator leads, with ultrasound guidance a useful way of facilitating venous puncture. We report a series of cases demonstrating the important complication of inadvertent arterial injury with this technique.

* Corresponding author. Tel: +44 1224 559308, Fax: +44 1224 550692, Email: paul.broadhurst{at}arh.grampian.scot.nhs.uk

Manuscript submitted 21 November 2008. Accepted after revision 31 January 2009.


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