Why the study?
Do endocardial defibrillation leads improve perioperative mortality and defibrillation thresholds compared to epicardial leads in patients receiving ICDs?
Do endocardial defibrillation leads improve perioperative mortality and defibrillation thresholds compared to epicardial leads in patients receiving ICDs?
Endocardial ICD lead systems require higher defibrillation energy but are associated with a trend toward lower perioperative mortality compared to epicardial systems.
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Endocardial leads may confer perioperative survival advantage; leaves open the preferred ICD lead system without randomized evidence.
Sanjeev Saksena (1993) studied this question.
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