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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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TECHNICAL NOTES CARDIAC PAPERS
The Journal of Cardiovascular Surgery 2001 April;42(2):213-5
Comparison of internal cardioverter defibrillator implantation techniques: subpectoral position
Hall T. S.
From the Department of Cardiothoracic Surgery University of California, San Francisco, CA, USA
Background. To compare surgical techniques for subpectoral implantation of internal cardioverter defibrillator (ICD).
Methods. Sequential comparison with review of the literature. Setting: University Hospital. Participants: the patients requiring ICD. Interventions: ICD insertions and device testing. Measurements: defibrillation and pacing thresholds, defibrillator lead impedance, operative time, and proximity of generator site to midline, clinical outcomes.
Results. Comparable efficacy in defibrillation, surgical time and medial placement. No wound infections, seromas or lead dislodgments. Preservation of pectoral muscle integrity.
Conclusions. Lateral single incision subpectoral ICD generator placement can be applied consistently with good results.