Top Tweets for #AxillaryFirst
@rdschaller @SchakrabartiEP @jeffrey_vinocur @GPapiashvili @MDTolgaAksu @narrowQRS @psharmadoc @hhuang123 @prof_serkan_cay @gauravaupadhyay @PennEPFellows Extreme caudal view (50 degrees) for Axillary approach to puncture outside Rib Cage.
It is a game changer. Shallow Angle at entry point from pocket performed at deltopectoral groove.
Left panel: caudal view
Right panel: AP view
It worths a try.
#axillaryfirst
#cephalicfirst
@annavarr @MDTolgaAksu @rdschaller @narrowQRS @psharmadoc @hhuang123 @prof_serkan_cay @gauravaupadhyay 3/3
#AxillaryFirst with caudal view as learnt from @FYang_EP article.
Left panel caudal view.
Right panel AP view.
#cardiotwitter #medtwitter #EPeeps
2020 - #ultrasoundaxillaryfirst #axillaryfirst for device implantation
2021- #zerofluoro #flouroless #AFib ablation
@BiosenseWebster #CARTOPrime #PENTARAY
#cephalicfirst #axillaryfirst Pacemaker leads faliure (2013 subclavian access) due to atypical crush syndrome on second rib
Very thin and collapsible axillary vein. Distal cephalic vein has the right angle and gives enough room for a safe puncture.
Dual Chamber PPM. US Guided axillary / cephalic vein puncture.
#EPeeps
#ultrasoundaxillaryfirst
#axillaryfirst
#longAxUS
#POCUS
Must read every TCT slide from @J_M_McCabe and watch @RajTayalMD talks and slides on twitter. Great education on “alternative access” or should we be going #AxillaryFirst @DrSheilaSahni @SVRaoMD @DrMauricioCohen @djc795 @Babar_Basir
Sometimes axillary vein anterior wall is too complacent. If you know exactly were your needle tip is, apply little pressure or twist the syringe a little as @50wattdoc first proposed. It helped me in some cases
#EPeeps
#ultrasoundaxillaryfirst
#axillaryfirst
#longAxUS
#POCUS
Needle puncture or drilling an oil field?
Obese patient. Deep axillary vein.
Dual Chamber PPM. US Guided (Thanks God...) axillary vein puncture.
#EPeeps
#ultrasoundaxillaryfirst
#axillaryfirst
#longAxUS
#POCUS
Which do you choose, #CephalicFirst or #AxillaryFirst ?
Fluoroscopy guided axillary vein access vs cephalic vein access in pacemaker & defibrillator implantation: Randomized clinical trial of efficacy & safety
See if the #EPeeps debate is settled ➨ https://t.co/Qs5eCMhS1p
This is why it is a bad idea to use central access. Lead encased in bone.
@nickkotch Totally agree and my feeling about devices vascular access is the same. Had the opportunity to show your experience in #EHRA2019 too.
#EPeeps
#ultrasoundaxillaryfirst
#axillaryfirst
#longAxUS
#POCUS
#ultrasoundaxillaryfirst and #cephalicfirst ,why don't we use the best of both techniques?
Obese patient. Deep ax. vein. Cephalic vein looks much more atractive.
Dual Chamber PPM. US Guided cephalic vein puncture.
#EPeeps
#ultrasoundaxillaryfirst
#axillaryfirst
#longAxUS
#POCUS
#Epeeps #AxillaryFirst
Contribution from @FYang_EP to change my practice in 2018
Axillary puncture using caudal 35°.
Left pannel caudal 35°, right pannel AP. Look how in AP needle invades thorax, whereas in caudal 35°, always needle away from it. No dye needed never. Give a try.
I think #cephalicfirst and #axillaryfirst #EPeeps can argue until the cows come home about who’s approach is more advantageous. But I think everyone agrees that NOBODY should be sticking the subclavian vein first (on purpose at least). #LongUSguidedAxFirst 😄
Cephalic vs. subclavian lead implantation in cardiac implantable electronic devices: a systematic review and meta-analysis https://t.co/7VnPL4ffoc
@escardio #ESCCoT #freeaccess #pacemaker #Cardiacresynchronizationtherapy
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