March 1, 1993The Annals of Thoracic SurgeryOpen Access

Surgical experience with defibrillator implantation using nonthoracotomy leads

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Why the study?

Is defibrillator implantation using nonthoracotomy lead systems feasible and safe in patients with life-threatening ventricular arrhythmias?

Population

50 patients with life-threatening ventricular arrhythmias tested with nonthoracotomy lead systems for…

Design

Cohort

Follow-up

mean 13 +/- 5 months (range, 4 to 26 months)

Authors

DHDieter HammelKlinikum Links der Weser MBM. BlockGSI Helmholtz Centre for Heavy Ion Research WKWolfgang KonertzCharité - Universitätsmedizin Berlin

Discussion

Member takes

Implication

Supports further evaluation of nonthoracotomy leads; does not yet justify practice change without randomized evidence.

Structured PICO

Is defibrillator implantation using nonthoracotomy lead systems feasible and safe in patients with life-threatening ventricular arrhythmias?

Population

50 patients with life-threatening ventricular arrhythmias tested with nonthoracotomy lead systems for implantable cardioverter-defibrillator (out of 109 total ICD patients). Mean ejection fraction 0.44 +/- 0.15, 24 had a history of open heart operation.

Intervention

Implantable cardioverter-defibrillator using nonthoracotomy lead systems (subcutaneous chest wall patch electrode near the cardiac apex and one or two transvenous electrodes)

Outcome

Feasibility (success rate of implantation) and lead-related complications (dislocation, insulation defect, or lead fracture) during short-term follow-upsafety

Defibrillator implantation using nonthoracotomy lead systems is feasible, safe, and effective for preventing sudden cardiac death in the short term without significant lead-related complications.

Cite This Study

Hammel et al. (1993) studied this question.

synapsesocial.com/papers/6a2175e784d1906bac5faf81 https://doi.org/10.1016/0003-4975(93)90276-n

Topics

Cardiac device therapy Women and heart disease

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Surgical experience with defibrillator implantation using nonthoracotomy leads

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Surgical experience with defibrillator implantation using nonthoracotomy leads

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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