Why the study?
Does implantation of an ICD in the subpectoral region combined with a nonthoracotomy lead system via a single cephalic venotomy incision prevent perioperative complications and allow satisfactory device tolerance?
Does implantation of an ICD in the subpectoral region combined with a nonthoracotomy lead system via a single cephalic venotomy incision prevent perioperative complications and allow satisfactory device tolerance?
Subpectoral implantation of an ICD combined with a nonthoracotomy lead system via a single cephalic venotomy incision is feasible, avoids additional incisions, and is well-tolerated.
Answers are grounded in this paper and cite their sources.
Supports single-incision subpectoral ICD feasibility in select cases; hypothesis-generating and requires prospective trials before practice consideration.
An implantable cardioverter defibrillator was placed into a subpectoral pocket via the incision for cephalic venotomy during implantation of a nonthoracotomy lead system. The approach obviated another incision and subcutaneous tunneling of the leads. There were no perioperative complications and after 6 months of follow-up, the patient continues to tolerate the device satisfactorily.
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Hammel et al. (1992) studied this question.
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