The extrathoracic approach to transvenous introducer insertion into the subclavian vein was initially described as an alternative approach in “Safe Introducer Technique for Pacemaker Lead Implantation.” Since this technique was so successful as an alternative approach, it was tried as the primary approach in 213 consecutive cases. The subclavian vein was cannulated in all cases. There were no introducer related complications. The extrathoracic approach cannulates the subclavian vein as it passes over the body of the first rib prior to entering the thoracic inlet. The technique includes maneuvering the introducer needle from the clavicle to the first rib by a series of partial withdrawals and reinsertions, visualized by fluoroscopy, The needle is advanced posteriorly along the rib until the vein is punctured. Orientation is maintained by touching the rib with each maneuver. The early results of the extrathoracic approach reinforces the belief that a complication‐free, transvenous introducer approach can he achieved.

CHARLES L. BYRD

Pacing and Clinical Electrophysiology

Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.

PACE - Pacing and Clinical Electrophysiology is the leading peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in this area. The journal features original research, reviews, didactic papers, and case reports relevant to daily practice. Additionally, it includes editorials, book reviews, reflections on humane topics related to medical practice, electrophysiology (EP) rounds, device rounds, and information regarding the quality of devices used in the specialty.

《PACE - Pacing and Clinical Electrophysiology》是心脏起搏和植入式心脏复律除颤领域的顶尖同行评审期刊，发表了该领域超过50%的英文文章。期刊内容包括原创研究、综述、教学论文和与日常实践相关的病例报告。此外，文章还包括社论、书评、与医学实践相关的人文主题思考、电生理（EP）讨论、设备讨论，以及有关该专业使用设备质量的信息。

PACE - Pacing and Clinical Electrophysiology

Clinical Experience with the Extrathoracic Introducer Insertion Technique

The extrathoracic approach to transvenous introducer insertion into the subclavian vein was tried as the primary approach in 213 consecutive cases and reinforces the belief that a complication‐free, transvenuous introducer approach can be achieved.

Category	Quartile
医学	4
医学, 心脏和心血管系统	4
医学, 工程生物医学	4

Clinical Experience with the Extrathoracic Introducer Insertion Technique

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Journal Info

Category	Quartile
ENGINEERING, BIOMEDICAL	3