TY - JOUR
T1 - Right mini-thoracotomy
T2 - An adjunct to left subcostal automatic implantable cardioverter defibrillator implantation
AU - Lawrie, Gerald M.
AU - Kaushik, Raj R.
AU - Pacifico, Antonio
PY - 1989/1/1
Y1 - 1989/1/1
N2 - High defibrillation thresholds are encountered in some patients during implantation of the automatic implantable cardioverter defibrillator (AICD). In a consecutive series of 52 patients with AICD implants, 46 had allepicardial implants by left subcostal thoracotomy, and 8 of these patients had thresholds greater than 30 J. Placement of an apicolateral large left ventricular patch and an extrapericardial large right atrial patch electrode through a limited right thoracotomy produced substantial reduction in their thresholds. Especially in patients who have had previous intrapericardial operations, this technique provides a simple solution to the problem of high thresholds.
AB - High defibrillation thresholds are encountered in some patients during implantation of the automatic implantable cardioverter defibrillator (AICD). In a consecutive series of 52 patients with AICD implants, 46 had allepicardial implants by left subcostal thoracotomy, and 8 of these patients had thresholds greater than 30 J. Placement of an apicolateral large left ventricular patch and an extrapericardial large right atrial patch electrode through a limited right thoracotomy produced substantial reduction in their thresholds. Especially in patients who have had previous intrapericardial operations, this technique provides a simple solution to the problem of high thresholds.
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U2 - 10.1016/0003-4975(89)90147-1
DO - 10.1016/0003-4975(89)90147-1
M3 - Article
C2 - 2730201
AN - SCOPUS:0024413352
SN - 0003-4975
VL - 47
SP - 780
EP - 781
JO - The Annals of thoracic surgery
JF - The Annals of thoracic surgery
IS - 5
ER -