Does nontraditional surgical placement of ICD leads (pericardial or transatrial) provide effective defibrillation thresholds and low procedural risk in patients with limited venous access?
Nontraditional surgical approaches for ICD lead placement, such as pericardial or transatrial, are viable and safe alternatives for patients lacking transvenous access.
Many factors may prohibit transvenous ICD lead placement. Nontraditional surgical placement of subcutaneous ICD leads on the pericardium or the use of a transatrial approach can be effective techniques in these patients. These procedures can be performed at low risk to the patient with excellent defibrillation thresholds.
Cannon et al. (Wed,) studied this question.
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