Revised implantation procedure for programmable automatic implantable cardioverter defibrillator: don't discard the magnet.
The newest implantable defibrillator (Ventak 1550 AICD) introduces radiofrequency telemetric communication that obviates the need for activation and deactivation of the device by a magnet during implantation. We present three of our first ten cases of implantation in which difficulties in intraopera...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 13; no. 6; pp. 776 - 783 |
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| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Wiley-Blackwell
Jun1990
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106086666&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106086666 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: Jun1990 vid: 13 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106086666 2009412159 10.1111/j.1540-8159.1990.tb02104.x NLM1695358 106086666 ppf: 776 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Revised implantation procedure for programmable automatic implantable cardioverter defibrillator: don't discard the magnet. aug: au: Venditti FJ Jr. Martin D Tsuji H Shahian DM Bowen S sug: subj: Cardioversion Equipment and Supplies Adult Cardiac Pacing, Artificial Electrocardiography Electrodes, Implanted Female Intraoperative Care Magnetics Male Middle Age Monitoring, Physiologic Methods Tachycardia Prevention and Control Telemetry Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: The newest implantable defibrillator (Ventak 1550 AICD) introduces radiofrequency telemetric communication that obviates the need for activation and deactivation of the device by a magnet during implantation. We present three of our first ten cases of implantation in which difficulties in intraoperative sensing would have been undetected without use of the magnet for audible evaluation of sensing. Based on this experience, we recommend a revised implantation protocol in which audible confirmation of sensing for 30 to 60 seconds by means of a sterile magnet is performed twice (with a pacemaker, if present in DOO or VOO mode): at the time of system test before induction of arrhythmia with testing cables connected to permit recording of rate, morphology, and ECG interpretation channel signals; and after final connection of the leads to the AICD. This simple additional maneuver is a powerful troubleshooting tool during implantation that permits prompt identification of sensing problems. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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