August 1, 1997Pacing and Clinical Electrophysiology
Right Side Implant of the Unipolar Single Lead Defihrillation System
Why the study?
Does right prepectoral placement of a unipolar single lead defibrillation system provide adequate defibrillation thresholds in patients with left-sided impediments?
Population
6 patients requiring defibrillator implantation with impediments on the left side, including 5 with ischemic…
Design
Case_series
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
May support right prepectoral placement in left-sided impediments; case report leaves open prospective validation.
Structured PICO
Does right prepectoral placement of a unipolar single lead defibrillation system provide adequate defibrillation thresholds in patients with left-sided impediments?
P
Population
6 patients (mean age 62 +/- 12 years) requiring defibrillator implantation with impediments on the left side, including 5 with ischemic heart disease and 1 with idiopathic dilated cardiomyopathy.
I
Intervention
Right prepectoral implantation of a unipolar single lead defibrillation system (active can) with the endocardial electrode placed in the right ventricle (apex or septal position).
O
Outcome
Defibrillation threshold (lowest energy of the first shock able to terminate ventricular fibrillation)surrogate
Right prepectoral implantation of unipolar active can defibrillators is a feasible alternative that provides stable defibrillation thresholds for patients with left-sided impediments.
Cite This Study
Natale et al. (1997) studied this question.