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In case of pacemaker implantation, axillary vein puncture remains a less common technique in both domestic and foreign institutions. In our article, we present the implementation of this method in a center where there was no prior experience with it. During our study, dividing the patients into two groups, we retrospectively compared the success and complication rates of subclavian and axillary punctures. Based on our results, introducing the electrode through the axillary vein is equally effective and safer than subclavian puncture. It can be easily mastered even without specific training by an electrophysiologist experienced in subclavian vein cannulation.

Pulmonary vein isolation is a primary therapeutical option for controlling atrial fibrillation, particularly in cases complicated with heart failure or previously ineffective pharmacological antiarrhythmic treatment. Different techniques share the punction of the femoral vein followed by the insertion of endocardial catheters through the inferior vena cava. When an interrupted vena cava inferior is present, another approach is needed to reach the target area for ablation. We present a case and the circumstances of a 48-year-old female, when transjugular pulmonary vein isolation was performed due to persistent atrial fibrillation.