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August 1982

Implantation of Permanent Transvenous Pacemaker via Subclavian Vein

Author Affiliations

From the Section of Cardiothoracic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Arch Surg. 1982;117(8):1105-1107. doi:10.1001/archsurg.1982.01380320087023

• A favorable overall experience was found with permanent transvenous cardiac pacing using a direct venipuncture for entry into the subclavian vein. The method allows rapid and relatively atraumatic introduction of a variety of transvenous pacemaker electrodes. However, a fatal complication developed that was caused by unrecognized puncture of the left pulmonary artery in an elderly patient. This was the result of a technical error and emphasizes that experience in subclavian venipuncture is essential to avoid the complications of this approach.

(Arch Surg 1982;117:1105-1107)