23 Apr 2016 Trans-subclavian Approach for Radiofrequency Ablation of Atrioventricular Accessory Pathway Associated with Coronary Sinus Diverticulum.

The hybrid approach is often performed in two stages, whereby a carotid-subclavian bypass is performed via a supraclavicular approach, followed by a thoracic stent graft placement via a percutaneous femoral approach. 12 Sizing for an appropriate endograft is a critical component of surgical planning with this approach.

Percutaneous cannulation of the subclavian vein uses anatomic landmarks to guide venipuncture and a Seldinger technique to thread a central venous catheter through the subclavian vein and into the superior vena cava. Two approaches (infraclavicular and supraclavicular) are used; the infraclavicular approach is described here. The subclavian (also referred to as infraclavicular or subclavicular) approach remains the most commonly used blind approach for subclavian vein cannulation. Its advantages include consistent A new technique extending the incision used for thoracic outlet decompression with a subclavicular approach to the first rib is presented. After the first rib and scalenotomy are removed, the subclavicular incision is continued into the sternum medially and superiorly to the sternal notch. Subclavian puncture is relatively straightforward from easiness of venous access. But it has its share of problems and extra-thoracic subclavian / axillary vein puncture is the recommended technique to master.

A subclavian approach

Conclusions: An intra-aortic balloon pump inserted through the subclavian artery is a simple, minimally inva-sive approach to mechanical support and is associated with limited morbidity and facilitates ambulation in pa-tients with end-stage heart failure. (J Thorac Cardiovasc Surg 2012;144:951-5) Jerzy Sacha et al. Percutaneous subclavian approach for Impella CP 344 Advances in Interventional Cardiology 2020 16, 3 61 Figure 1. Percutaneous coronary intervention with Impella CP insertion The transapical approach is considered the most invasive approach and is typically performed in instances where the femoral, subclavian, and direct aortic approaches are contraindicated. The apical approach requires direct access to the left ventricular myocardium and is associated with greater risk of complications, including death ( 24 , 25 ).

TEVAR may be offered in the treatment of thoracic aortic aneurysm pathology even in patients with lack of vascular access.

2020-07-24

Deep to the vein is the anterior scalene muscle followed by the subclavian artery. Cardiac catheterisation demonstrated a 90% diameter stenosis of the right coronary artery, 4+ mitral regurgitation and significant occlusive aortic disease.

13 Dec 2007 Coagulopathy, while not an absolute contraindication, should be of greater concern with the subclavian approach because of the difficulty in

To enable right-sided CVC placement in patients with TCVO, an inside-out access (IOA) approach was established at 3 vascular access centers in Europe involving use The right subclavian approach has been used in fewer than 1% of the cases.

Case presentation We report our first five Left subclavian approach for ablation of persistent left superior vena cava in a patient with cardiac resynchronization therapy: a case report Kazuto Hayasaka Department of Cardiology, Kameda Medical Center, 929 Higashicho, Kamogawa, Chiba, Japan A : Subclavian arteriography after recanalization by crossing the 0.035 inch guidewire and 6 French JR4 coronary angiography catheter. Note that arteriography was performed after the JR4 catheter was removed. The rough vessel wall and irregular filling of the contrast medium indicates considerable residual stenosis of the proximal subclavian artery. The transapical approach is considered the most invasive approach and is typically performed in instances where the femoral, subclavian, and direct aortic approaches are contraindicated. The apical approach requires direct access to the left ventricular myocardium and is associated with greater risk of complications, including death ( 24 , 25 ).
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. Zastaralá A new approach to percutaneous subclavian venipuncture to avoid lead fracture or central venous catheter occlusion.

Shrugging opens up a window to puncture the subclavian vein over the first rib. In neutral position, the clavicle lies over the proximal aspect of the subclavian vein. Shrugging the shoulder pulls the clavicle upwards, out of the way.
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6 Dec 2020 The overall subclavian venous catheterization via supraclavicular approach procedure complication rate reached 1.7% (95% confidence interval

We describe and report the use of a novel supraclavicular true subclavian approach for transcatheter aortic valve replacement (TAVR) exclusively for implantation of Sapien 3 valves. Case presentation We report our first five 2021-04-25 · An aberrant subclavian artery, also known as the arteria lusoria, is an embryologic anomaly that occurs when the fourth right aortic arch and distal aorta involute and the seventh right inner segmental artery remains, resulting in a subclavian artery arising from the descending thoracic aorta distal to the left subclavian artery (LSA). 1 It is the most common congenital anomaly of the aortic arch. 2010-10-01 · In the trans-subclavian approach, the proximity between the aortic annulus and the sheath of the valve provides more direct access to the implantation site, easier manipulation of the device, and correct positioning of the CoreValve (particularly during the stepwise retraction of the outer sheath that allows deployment of the self-expanding prosthesis) than the transfemoral approach, because 2012-09-01 · This approach could be also preferred over more invasive direct transaortic access.

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a large vein in the neck (internal jugular vein), chest (subclavian vein or axillary First, we shall scarcely ever approach closely enough to such a central line.

But it has its share of problems and extra-thoracic subclavian / axillary vein puncture is the recommended technique to master.