Key result
An epicardial subxiphoid implantable defibrillator lead was effective in 4 patients who could not be defibrillated with a transvenous system, appearing to lower the defibrillation threshold.
Why the study?
Does a single epicardial subxiphoid implantable defibrillator lead lower defibrillation thresholds in patients who cannot be defibrillated with a transvenous system?
Population
4 patients who could not be defibrillated with a transvenous system, including 3 with progressive heart…
Design
Case_series
Authors
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May offer alternative in refractory cases; hypothesis-generating from small series and needs prospective validation.
Case Report (n=4)
Does a single epicardial subxiphoid implantable defibrillator lead lower defibrillation thresholds in patients who cannot be defibrillated with a transvenous system?
An epicardial subxiphoid implantable defibrillator lead may offer a viable alternative for patients with high defibrillation thresholds who cannot be successfully defibrillated using conventional transvenous systems.
Molina et al. (2004) conducted a case report in High defibrillation thresholds with conventional leads (n=4). Epicardial subxiphoid implantable defibrillator lead was evaluated on Defibrillation success. An epicardial subxiphoid implantable defibrillator lead was effective in 4 patients who could not be defibrillated with a transvenous system, appearing to lower the defibrillation threshold.
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