The purpose of this study is to determine the learning curve associated with Ultrasound (US) guided axillary vein access for cardiac device implantation based on length of procedure among operators of various levels of experience and to assess the 30-day complication rate for patients undergoing US guided device placement versus traditional implant methods.
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Venous access time between US guided and conventional technique
Timeframe: During procedure
Time spent for pocket creation between US guided venous access technique and conventional technique.
Timeframe: During procedure
Time spent to obtain venous access & pocket creation between experienced and inexperienced physicians.
Timeframe: During procedure
To assess 30 day post procedure complications
Timeframe: 30 Day post procedure
Assess acute procedural success between two techniques.
Timeframe: During procedure