Intermuscular Two-Incision Technique for Subcutaneous Implantable Cardioverter Defibrillator Implantation: Results from a Multicenter Registry.
Background The traditional technique for subcutaneous implantable cardioverter defibrillator (S-ICD) implantation, which involves three incisions and a subcutaneous pocket, is associated with possible complications, including inappropriate interventions. The aim of this prospective multicenter study...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 40; no. 3; pp. 278 - 286 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2017
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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=121807367&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121807367 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: Mar2017 vid: 40 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 121807367 121807367 121807367 10.1111/pace.12987 121807367 ppf: 278 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Intermuscular Two-Incision Technique for Subcutaneous Implantable Cardioverter Defibrillator Implantation: Results from a Multicenter Registry. aug: au: MIGLIORE, FEDERICO ALLOCCA, GIUSEPPE CALZOLARI, VITTORIO CROSATO, MARTINO FACCHIN, DOMENICO DALEFFE, ELISABETTA ZECCHIN, MASSIMO FANTINEL, MAURO CANNAS, SERGIO ARANCIO, ROCCO MARCHESE, PROCOLO ZANON, FRANCESCO ZORZI, ALESSANDRO ILICETO, SABINO BERTAGLIA, EMANUELE affil: Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova Italy sug: subj: Defibrillators, Implantable Equipment Design Human Prospective Studies Reoperation Tachycardia, Ventricular Treatment Outcomes Ventricular Fibrillation Multicenter Studies Adult Middle Age Aged Data Analysis Software Male Radiography, Thoracic Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male ab: Background The traditional technique for subcutaneous implantable cardioverter defibrillator (S-ICD) implantation, which involves three incisions and a subcutaneous pocket, is associated with possible complications, including inappropriate interventions. The aim of this prospective multicenter study was to evaluate the efficacy and safety of an alternative intermuscular two-incision technique for S-ICD implantation. Methods The study population included 36 consecutive patients (75% male, mean age 44 ± 12 years [range 20-69]) who underwent S-ICD implantation using the intermuscular two-incision technique. This technique avoids the superior parasternal incision for the lead placement and consists of creating an intermuscular pocket between the anterior surface of the serratus anterior and the posterior surface of the latissimus dorsi muscles instead of a subcutaneous pocket. Results All patients were successfully implanted in the absence of any procedure-related complications with a successful 65-J standard polarity defibrillation threshold testing, except in one, who received a second successful shock after pocket revision. During a mean follow-up of 10 months (range 3-30), no complications requiring surgical revision were observed. At device interrogation, stable sensing without interferences was observed in all patients. Two patients (5.5%) experienced appropriate and successful shock on ventricular fibrillation and in four patients (11%), a total of seven nonsustained self-terminated ventricular tachycardias were correctly detected. No inappropriate interventions were observed. Conclusions Our experience suggests that the two-incision intermuscular technique is a safe and efficacious alternative to the current technique for S-ICD implantation that may help reducing complications including inappropriate interventions and offer a better cosmetic outcome, especially in thin individuals. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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