Video Titles and Captions
Video 1: Field Preparation
This video shows the proper placement of the surgical drape towels for optimal ultrasound guided vascular access (narration provided by Dr. Salcedo).
Video 2: Initial ultrasound survey with anesthetic
This video shows the initial short axis survey followed by a long axis survey while anesthetizing the subcutaneous tissue with a short 22 gauge needle to help preview the angle of the course of the access needle (narration provided by Dr. Salcedo).
Video 3: Ultrasound Guided Access
This video demonstrates two ultrasound guided punctures of the axillary vein using long axis ultrasound guidance and a unique twisting motion after catching the vein wall with the needle tip (narration provided by Dr. Salcedo).
Video 4: Pocket Incision
This video shows the creation of the pocket incision and how it should be positioned with relation to the wire skin entry points (narration provided by Dr. Salcedo).
Video 5: Harvest the Wires
This video displays how to harvest the wires into a newly created CIED pocket (narration provided by Dr. Salcedo).
References
  1. Nash A, Bureell CJ, Ring NJ, Marshall AJ. Evaluation of an ultrasonically guided venepuncture technique for the placement of permanent pacing electrodes. Pacing Clin Electrophysiol. 1998;21(2):452–455.
  2. Jones DG, Stiles MK, Stewart JT, Armstrong GP. Ultrasound-guided venous access for permanent pacemaker leads. Pacing Clin Electrophysiol. 2006;29(8):852–857.
  3. Seto A, Jolly A, Salcedo J. Ultrasound-guided Venous Access for Pacemakers and Defibrillators. J Cardiovasc Electrophysiol 2013;24(3):370-4.
  4. Esmaiel A, Hassan J, Blenkhorn F, Mardigyan V. The use of ultrasound to improve axillary vein access and minimize complications during pacemaker implantation. Pacing Clin Electrophysiol. 2016;39(5):478–482.
  5. Lin J, Adsit G, Barnett A, Tattersall M, Field ME, Wright J. Feasibility of ultrasound-guided vascular access during cardiac implantable device placement. J Interv Card Electrophysiol. 2017;50(1):105–109.
  6. Liccardo M, Nocerino P, Gaia S, Ciardiello C. Efficacy of ultrasound-guided axillary/subclavian venous approaches for pacemaker and defibrillator lead implantation: a randomized study. J Interv Card Electrophysiol. 2018;51(2):153–160.
  7. Ahmed AS, Gilge JL, Clark BA, et al. Predictors of successful ultrasound-guided lead implantation. Pacing Clin Electrophysiol. 2020;43(2):217–222.
  8. Chandler JK, Apte N, Ranka S, et al. Ultrasound guided axillary vein access: an alternative approach to venous access for cardiac device implantation. J Cardiovasc Electrophysiol. 2021;32(2):485–465.
  9. Salcedo J. Integrating Long-Axis and Short-Axis Views With a Twist for Ultrasound-Guided Vascular Access, Part II: Axillary Approach. EP Lab Digest 2020;20(8):28-32,45.
  10. Tagliari AP, Kochi AN, Mastella B, et al. Axillary vein puncture guided by ultrasound vs cephalic vein dissection in pacemaker and defibrillator implant: a multicenter randomized clinical trial. Heart Rhythm. 2020 Apr 29;S1547-5271(20)30361-1. doi: 10.1016/j.hrthm.2020.04.030.