title: [The pectoral implant of an automatic defibrillator by cardiologists in an electrophysiology laboratory].
abstract: We have performed 2 implantations of transvenous automatic cardioverter defibrillator in a cardiac laboratory devoted to electrophysiology and pacemaker implantation. This is a preliminary experience with a novel implant strategy. Cardiologists were the primary operators. The automatic cardioverter defibrillator were placed in a subcutaneous pectoral region, with a non-thoracotomy lead system. The automatic cardioverter defibrillator were two Medtronic 7219D PCD Jewel, with a Transvene system. There were no perioperative complications. Acceptable defibrillation threshold were obtained in both patients, 12 and 20 J, respectively. Leads were inserted percutaneously through the left subclavian vein. After 8 months of follow-up the patients continue to tolerate the device satisfactorily. Implantation of automatic cardioverter defibrillator systems by trained cardiologists in an electrophysiology laboratory is safe and feasible. Moreover, its cost-effectiveness is superior, the saving includes the surgeons, and the reduction of stay in unit of intensive care and hospitalization.
authors.affiliation: Unidad de Arritmias, Hospital Ramón y Cajal, Madrid.
authors.forename: E
authors.initials: E
authors.lastname: Marín-Huerta
authors.forename: C
authors.initials: C
authors.lastname: Moro Serrano
authors.forename: L
authors.initials: L
authors.lastname: Novo
authors.forename: A H
authors.initials: AH
authors.lastname: Madrid
authors.forename: J
authors.initials: J
authors.lastname: Lage
authors.forename: J L
authors.initials: JL
authors.lastname: Mestre
authors.forename: C
authors.initials: C
authors.lastname: Vargas
authors.forename: L
authors.initials: L
authors.lastname: Yepes
authors.forename: A
authors.initials: A
authors.lastname: Aguilera
mesh_terms: D017147:Defibrillators, Implantable; D004594:Electrophysiology; D005500:Follow-Up Studies; D006801:Humans; D007755:Laboratories, Hospital; D008297:Male; D008722:Methods; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000601:surgery; D013030:Spain; D017180:Tachycardia, Ventricular / Q000628:therapy; D014693:Ventricular Fibrillation / Q000628:therapy
vernacular_title: Implante pectoral de desfibrilador automático por cardiólogos en un laboratorio de electrofisiología.